# EASTERN CONNECTICUT MEDICAL PROFESSIONALS FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastern CT Medical Professionals
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770557712
- **Authorized official:** PETER J KARL (PRESIDENT & CEO)
- **Authorized official phone:** (860) 646-1222

## Contact information

- **Practice address:** 71 HAYNES ST, MILLER BLDG, FLOOR G, MANCHESTER, CT 06040-4131
- **Practice address phone:** (860) 533-2981
- **Practice address fax:** (860) 533-2975
- **Mailing address:** 71 HAYNES ST, MILLER BLDG, FLOOR G, MANCHESTER, CT 06040-4131
- **Mailing address phone:** (860) 533-2981
- **Mailing address fax:** (860) 533-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | CT | — |
| 1041C0700X | Clinical Social Worker | — | CT | — |
| 106H00000X | Marriage & Family Therapist | — | CT | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 10/03/2013