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Organization
OCCUPATIONAL MEDICINE OF THE NORTHEAST, LLC
Active
Organization
OCCUPATIONAL MEDICINE OF THE NORTHEAST, LLC
Active
Other names
The Doctors Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A KEI M.D. (MEMBER)
(860) 747-4541
Entity
Organization
Contact information
Practice address
240 EAST ST, PLAINVILLE, CT 06062-2935
(860) 747-4541
(860) 793-1218
Mailing address
240 EAST ST, PLAINVILLE, CT 06062-2935
(860) 747-4541
(860) 793-1218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
027429
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D100021321
MEDICARE PTAN
—
Enumeration date
03/19/2010
Last updated
08/14/2013
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