# PHYSICIANS ALLIANCE OF CONNECTICUT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHYSICIANS ALLIANCE OF CONNECTICUT, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093292310
- **Legal business name:** PHYSICIANS ALLIANCE OF CONNECTICUT, LLC
- **Authorized official:** YVETTE BARCHAT (COO)
- **Authorized official phone:** (203) 488-7228

## Contact information

- **Practice address:** 350 GOOSE LN STE 203B, GUILFORD, CT 06437-2158
- **Practice address phone:** (203) 408-2700
- **Practice address fax:** (203) 884-8201
- **Mailing address:** 322 E MAIN ST STE 1B, BRANFORD, CT 06405-3136
- **Mailing address phone:** (203) 488-7228
- **Mailing address fax:** (203) 488-7227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/20/2018
- **Last updated:** 06/24/2020