Organization
MEDICAL CENTER OF NORTHEAST CONNECTICUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J MATTY MD (MEDICAL DIRECTOR)
(860) 779-0284
Entity
Organization
Contact information
Practice address
612 HARTFORD PIKE, DAYVILLE, CT 06241-2159
(860) 779-0284
(860) 779-0386
Mailing address
612 HARTFORD PIKE, DAYVILLE, CT 06241-2159
(860) 779-0284
(860) 779-0386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001172865
—
CT
05
—
001228592
—
CT
05
—
001292490
—
CT
05
—
001295006
—
CT
05
—
001367178
—
CT
05
—
001413476
—
CT
Enumeration date
07/25/2007
Last updated
09/03/2008
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