Organization
ADVANCEDCARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JOHNSON (CREDENTIALING COORDINATOR)
(860) 510-0888
Entity
Organization
Contact information
Practice address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(860) 510-0888
(860) 510-0020
Mailing address
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475-4214
(860) 510-0888
(860) 510-0020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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