Priority Family Healthcare of Northeast Connecticut, LLC
NPI #1720391311 in Putnam, Connecticut
Provider Information
- NPI Number
- 1720391311
- Entity Type
- Organization
- Organization Name
- Priority Family Healthcare of Northeast Connecticut, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 23, 2010
- Last Updated
- Jan 15, 2015
Practice Location
- Address
- 353 POMFRET ST
- City
- Putnam
- State
- Connecticut
- ZIP Code
- 06260-1835
- Phone
- (860) 928-1111
Authorized Official
- Name
- RAJA FATTALEH, MD
- Title
- OWNER
- Phone
- (860) 928-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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