Organization
SWENSEN RIVERSIDE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE SWENSEN MILLER M.D. (OWNER)
(860) 379-1350
Entity
Organization
Contact information
Practice address
115 SPENCER ST, WINSTED, CT 06098-1140
(860) 379-1350
Mailing address
115 SPENCER ST, WINSTED, CT 06098-1140
(860) 379-1350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043014
CT
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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