Organization
IHPC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J KEVIN SHUSHTARI (OWNER)
(860) 917-7344
Entity
Organization
Contact information
Practice address
11 HIGH ST, FARMINGTON, CT 06032-2314
(860) 424-2450
Mailing address
11 HIGH ST, FARMINGTON, CT 06032-2314
(860) 424-2450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
12/19/2022
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