# PHYSICIAN SERVICES OF NORTHEAST

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAY KIMBALL HOSPITAL OF WINDHAM COUNTY
- **Other names:** PHYSICIAN SERVICES OF NORTHEAST CT, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275801771
- **Legal business name:** DAY KIMBALL HOSPITAL OF WINDHAM COUNTY
- **Authorized official:** JULIE DROUIN (CFO)
- **Authorized official phone:** (860) 928-6541

## Contact information

- **Practice address:** 320 POMFRET ST, SUITE CSB2, PUTNAM, CT 06260-1836
- **Practice address phone:** (860) 928-6541
- **Practice address fax:** (860) 963-6450
- **Mailing address:** 320 POMFRET ST, PUTNAM, CT 06260-1836
- **Mailing address phone:** (860) 928-6541
- **Mailing address fax:** (860) 963-6450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/12/2011
- **Last updated:** 12/30/2011