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Organization
MHS PRIMARY CARE INC
Active
Organization
MHS PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARTIN (NETWORK EXECUTIVE)
(860) 358-4802
Entity
Organization
Contact information
Practice address
9 WILDWOOD MEDICAL CTR UNIT 2, ESSEX, CT 06426-1155
(860) 358-3170
(860) 358-8666
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/08/2018
Last updated
02/07/2022
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