Organization
MHS PRIMARY CARE, INC.
Active
Parent organization
MHS PRIMARY CARE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MHS PRIMARY CARE INC.
Authorized official
SUSAN MARTIN (VICE PRESIDENT FINANCE & TREASURER)
(860) 358-6140
Entity
Organization
Contact information
Practice address
12 JONES HOLLOW RD STE 2, MARLBOROUGH, CT 06447-1139
(860) 358-2850
(860) 358-8698
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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