Organization
MARY E. ESLICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRI ATWOOD (BILLING DEPT.)
(860) 823-1363
Entity
Organization
Contact information
Practice address
59 SACHEM ST, NORWICH, CT 06360-4201
(860) 889-1351
(860) 889-0319
Mailing address
59 SACHEM ST, NORWICH, CT 06360-4201
(860) 889-1351
(860) 889-0319
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
031570
CT
208000000X
Pediatrics Physician
Primary
031570
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010031570CT01
BC/BS
CT
01
—
030079
HEALTHNET
CT
01
—
NLP085
OXFORD
CT
Enumeration date
10/18/2007
Last updated
10/18/2007
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