Organization
EASTERN CONNECTICUT HEART ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK FISHERKELLER MD (OWNER)
(860) 688-0033
Entity
Organization
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2041
(860) 456-2898
Mailing address
PO BOX 112, WINDSOR, CT 06095-0112
(860) 688-0033
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
11/20/2007
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