Organization
GENERAL DYNAMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PIERRETTE ROY APRN (NURSE PRACTITIONER)
(860) 433-2043
Entity
Organization
Contact information
Practice address
75 EASTERN POINT RD, GROTON, CT 06340-4905
(860) 433-2043
Mailing address
75 EASTERN POINT RD, GROTON, CT 06340-4905
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
005240
CT
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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