# MHS PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** George Rosenfeld, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710104625
- **Authorized official:** MS. SUSAN SERKEY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (860) 358-4802

## Contact information

- **Practice address:** 270 MAIN ST, PORTLAND, CT 06480-1857
- **Practice address phone:** (860) 342-3392
- **Practice address fax:** (860) 358-8658
- **Mailing address:** 28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
- **Mailing address phone:** (860) 358-4819
- **Mailing address fax:** (860) 632-0240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | CT | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 09/08/2017