Mhs Primary Care

NPI #1710104625 in Portland, Connecticut

Provider Information

NPI Number: 1710104625
Entity Type: Organization
Organization Name: Mhs Primary Care
Primary Specialty: Family Medicine
Enumeration Date: Apr 20, 2007
Last Updated: Sep 8, 2017

Practice Location

Address: 270 MAIN ST
City: Portland
State: Connecticut
ZIP Code: 06480-1857
Phone: (860) 342-3392

Authorized Official

Name: MS. SUSAN SERKEY
Title: PRACTICE ADMINISTRATOR
Phone: (860) 358-4802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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