# EASTERN CONNECTITCUT MEDICAL PROFESSIONALS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740571397
- **Authorized official:** KAITLIN JANE VIOLA PA (ORTHOPEDIC PHYSICIAN ASSISTANT)
- **Authorized official phone:** (845) 392-7917

## Contact information

- **Practice address:** 71 HAYNES ST, SUITE 1209, MANCHESTER, CT 06040-4131
- **Practice address phone:** (606) 598-5104
- **Mailing address:** 71 HAYNES ST, SUITE 1209, MANCHESTER, CT 06040-4131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 002561 | CT | Yes |

## Other

- **Enumeration date:** 04/29/2011
- **Last updated:** 04/29/2011
