Organization
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
Active
Organization
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
Active
Parent organization
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC.
Other names
Trinity Health Of New England Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH OF NEW ENGLAND CORPORATION INC.
Authorized official
CARLOS MARTINS M.D. (INTERIM PRESIDENT)
(413) 523-0816
Entity
Organization
Contact information
Practice address
7 HIGHWOOD ST, WATERVILLE, ME 04901-5739
(203) 573-0705
Mailing address
1000 ASYLUM AVE STE 4309A, HARTFORD, CT 06105-1704
(860) 714-1325
(860) 714-8708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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