# SOUTHEASTERN CT NEPHROLOGY ASSOC.

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

## Provider details

- **NPI number:** 1821426099
- **Authorized official:** MR. JAY M. GINSBERG M.D. (PRESIDENT)
- **Authorized official phone:** (860) 367-0087

## Contact information

- **Practice address:** 88 NORWICH NEW LONDON TPKE, SUITE 2, UNCASVILLE, CT 06382-2518
- **Practice address phone:** (860) 367-0087
- **Practice address fax:** (860) 367-0117
- **Mailing address:** 88 NORWICH NEW LONDON TPKE, SUITE 2, UNCASVILLE, CT 06382-2518
- **Mailing address phone:** (860) 367-0087
- **Mailing address fax:** (860) 367-0117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 003528 | CT | Yes |

## Other

- **Enumeration date:** 10/24/2013
- **Last updated:** 10/24/2013