Mashantucket Pequot Tribal Nation Health Center
NPI #1508170556 in Ledyard, Connecticut
Provider Information
- NPI Number
- 1508170556
- Entity Type
- Organization
- Organization Name
- Mashantucket Pequot Tribal Nation Health Center
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 2, 2010
- Last Updated
- Aug 2, 2010
Practice Location
- Address
- 75 ROUTE 2
- City
- Ledyard
- State
- Connecticut
- ZIP Code
- 06339-1128
- Phone
- (860) 321-8000
Authorized Official
- Name
- MR. RODNEY A BUTLER
- Title
- TRIBAL COUNCIL CHAIRMAN
- Phone
- (860) 396-6133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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