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Organization
URGENT CARE OF GROTON, LLC
Active
Organization
URGENT CARE OF GROTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH ROBERT ROHATSCH MD (CEO)
(203) 885-0808
Entity
Organization
Contact information
Practice address
220 ROUTE 12, SUITE 16 & 17, GROTON, CT 06340-3414
(203) 885-0808
(203) 885-0813
Mailing address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1711
(203) 885-0808
(203) 885-0813
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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