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Organization
PHYSICIAN SERVICES OF NORTHEAST
Active
Organization
PHYSICIAN SERVICES OF NORTHEAST
Active
Parent organization
DAY KIMBALL HOSPITAL OF WINDHAM COUNTY
Other names
PHYSICIAN SERVICES OF NORTHEAST CT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAY KIMBALL HOSPITAL OF WINDHAM COUNTY
Authorized official
JULIE DROUIN (CFO)
(860) 928-6541
Entity
Organization
Contact information
Practice address
320 POMFRET ST, SUITE CSB2, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6450
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
Other
Enumeration date
12/12/2011
Last updated
12/30/2011
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