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Organization
PRIORITY FAMILY HEALTHCARE OF NORTHEAST CONNECTICUT, LLC
Active
Organization
PRIORITY FAMILY HEALTHCARE OF NORTHEAST CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJA FATTALEH MD (OWNER)
(860) 928-1111
Entity
Organization
Contact information
Practice address
353 POMFRET ST, PUTNAM, CT 06260-1835
(860) 928-1111
Mailing address
PO BOX 333, PUTNAM, CT 06260-0333
(860) 928-1111
(860) 963-7756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038188
CT
Other
Enumeration date
07/23/2010
Last updated
01/15/2015
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