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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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