Organization
MIDDLE CT EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(404) 450-4684
Entity
Organization
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(469) 401-2386
Mailing address
PO BOX 37890, PHILADELPHIA, PA 19101-0190
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/13/2012
Last updated
10/16/2023
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