Physician Services Of Northeast in Putnam - Adolescent Medicine
Physician Services Of Northeast - NPI 1891962221
Physician Services Of Northeast is a Adolescent Medicine in Putnam, Connecticut. Physician Services Of Northeast practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Physician Services Of Northeast is 1891962221. The last update date is 2011-09-16.
Physician Services Of Northeast's current location address is 320 Pomfret St, Putnam, Connecticut. You can contact this provider via phone number 8609286541 and fax number 8609636450. The mailing address for Physician Services Of Northeast is 320 Pomfret St, Putnam, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Physician Services Of Northeast |
|---|---|
| Address | 320 Pomfret St, Putnam, Connecticut |
| Phone Number | 8609286541 |
| Fax Number | 8609636450 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Drouin Julie |
| Telephone Number | 8609286541 |
NPI Number Detail
| NPI Number | 1891962221 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2011-09-16 |
Provider Mailing Address Detail
| Address | 320 Pomfret St |
|---|---|
| City | Putnam |
| State | Connecticut (CT) |
| Post Code | 62601836 |
| Phone Number | 8609286541 |
| Fax Number | 8609636450 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8001905 | CT | -- | |
| 8014016 | CT | -- |
Post Comment/ Review Below
What is the Physician Services Of Northeast's unique identification number?
The Physician Services Of Northeast has been assigned the NPI (National Provider Identifier) Number 1891962221 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Physician Services Of Northeast is geographically located?
The Physician Services Of Northeast is physically situated at the following location: 320 Pomfret St, Putnam, CT, 62601836.
What is Physician Services Of Northeast's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Physician Services Of Northeast is Adolescent Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0000X.
When was the Physician Services Of Northeast's 1891962221 issued?
The Physician Services Of Northeast's 1891962221 was issued on 2008-05-14.
When was the information related to Physician Services Of Northeast most recently updated or refreshed?
The details pertaining to the Physician Services Of Northeast, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-09-16.
Address: 1837 S Magnolia Ave, Yuma, AZ
Address: 615 Shipyard Blvd, Wilmington, NC
Address: 175 Cross Keys Rd, Berlin, NJ
Address: 175 Cross Keys Rd # 300 A, Berlin, NJ
Address: 100 Brewster Blvd, Camp Lejeune, NC
Address: 6841 Blanding Blvd, Jacksonville, FL
Address: Po Box 11247, Berkeley, CA
Address: 3 Cooper Plz, Camden, NJ
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA
Address: 1230 S Cedar Crest Blvd Ste 306, Allentown, PA
Address: 1207 S Queen St, York, PA
Address: Po Box 858, Hershey, PA
Address: 2280 Marcola Rd, Springfield, OR
Address: 41 University Dr Ste 106, Newtown, PA
Address: 1147 Independence Blvd, Virginia Beach, VA