Active NPIOrganization

Physician Services Of Northeast

Family Medicine in Putnam, Connecticut

NPI Number1891962221
Practice location
320 Pomfret St, Suite Csb2, Putnam, CT 06260-1836
Fax
860-963-6450
Last updated
September 16, 2011

Physician Services Of Northeast is a healthcare organization based in Putnam, CT. Physician Services Of Northeast practices in Putnam, CT. The NPI Number for Physician Services Of Northeast is 1891962221. The current practice location address for Physician Services Of Northeast is 320 Pomfret St, Suite Csb2, Putnam, CT 06260-1836 and can be reached out via phone at 860-928-6541 and via fax at 860-963-6450.

Provider Profile Details

NPI Number
1891962221
Provider Name
Physician Services Of Northeast
Provider Entity Type
Organization
Address
320 Pomfret St, Suite Csb2, Putnam, CT 06260-1836
Phone Number
860-928-6541
Fax Number
860-963-6450
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
Yes
Parent Organization
Day Kimball Healthcare INC DBA Da
Authorized Official
Julie Drouin · Cfo · 860-928-6541
Other Names
Physician Services Of Northeast Connecticut, LLC (Doing Business As)
Provider Enumeration Date
May 14, 2008
Last Update Date
September 16, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
320 Pomfret St
Suite Csb2
Putnam, CT 06260-1836
City
Putnam
Zip
06260-1836
Phone Number
860-928-6541
Fax Number
860-963-6450
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
320 Pomfret St
Suite Csb2
Putnam, CT 06260-1836
City
Putnam
State
CT
Zip
06260-1836
Phone Number
860-928-6541
Fax Number
860-963-6450

License Information

Taxonomy (1)
Family Medicine, Adolescent Medicine · 207QA0000X
Taxonomy (2)
Family Medicine, Adult Medicine · 207QA0505X
Taxonomy (3)
Internal Medicine · 207R00000X
Taxonomy (4)
Surgery · 208600000X
Taxonomy (5)
Dermatology · 207N00000X
License State (6)
CT
Taxonomy (6)
Midwife · 176B00000X
Taxonomy (7)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Physician Services Of Northeast?

The NPI number of Physician Services Of Northeast is 1891962221. It was assigned on May 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Physician Services Of Northeast?

Physician Services Of Northeast is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Physician Services Of Northeast practice?

The practice location is 320 Pomfret St, Suite Csb2, Putnam, CT 06260-1836. The office can be reached at 860-928-6541 (phone) or 860-963-6450 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891962221 directly on the NPPES registry website.

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