Organization
INHEALTH MED CT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUND WEST MD (OWNER)
(860) 423-8020
Entity
Organization
Contact information
Practice address
14 QUARRY ST, WILLIMANTIC, CT 06226
(860) 423-8020
(860) 456-8288
Mailing address
37 IVAN HILL ST, WILLIMANTIC, CT 06226-2001
(860) 423-8020
(860) 456-8288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019026
CT
363L00000X
Nurse Practitioner
001754
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004201141
—
CT
Enumeration date
03/08/2007
Last updated
09/06/2018
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