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Organization
NEUROLOGICAL GROUP, PC
Active
Organization
NEUROLOGICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE I RADIN MD (PRESIDEN)
(860) 443-1891
Entity
Organization
Contact information
Practice address
350 MONTAUK AVE, NEW LONDON, CT 06320-4730
(860) 443-1891
(860) 443-2980
Mailing address
350 MONTAUK AVE, NEW LONDON, CT 06320-4730
(860) 443-1891
(860) 443-2980
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
003463
CT
Other
Enumeration date
11/09/2016
Last updated
01/03/2017
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