Organization
NORWICH ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D'AMATO MD (PRESIDENT)
(860) 823-6395
Entity
Organization
Contact information
Practice address
326 WASHINGTON ST, ANESTHESIA DEPARTMENT, NORWICH, CT 06360-2740
(860) 823-6395
(860) 823-6563
Mailing address
99 E RIVER DR, 5TH FLOOR , ATTN CREDENTIALING, EAST HARTFORD, CT 06108-3288
(860) 282-4022
(860) 282-0834
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004054763
—
CT
01
—
004199327
MEDICAID APRN GROUP #
CT
Enumeration date
06/03/2006
Last updated
08/31/2009
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