Organization
SOUTHINGTON URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P GREENE MD (PRESIDENT)
(860) 378-2891
Entity
Organization
Contact information
Practice address
1131 WEST ST STE 1, SOUTHINGTON, CT 06489-6006
(860) 621-7682
(860) 621-7679
Mailing address
710 MAIN ST BLDG 4, PLANTSVILLE, CT 06479-1567
(860) 378-2811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036278
CT
Other
Enumeration date
04/06/2007
Last updated
10/25/2013
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