Organization
PROHEALTH PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK REED (PRESIDENT & CEO)
(860) 284-5200
Entity
Organization
Contact information
Practice address
4 FARM SPRINGS ROAD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
Mailing address
4 FARM SPRINGS ROAD, PROHEALTH PHYSICIANS, FARMINGTON, CT 06032-2573
(860) 284-5200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
Other
Enumeration date
10/17/2006
Last updated
08/06/2008
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