Individual
JOHN MONROE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SHAWS CV, NEW LONDON, CT 06320-4902
(860) 447-8304
(860) 443-8720
Mailing address
575 MAIN ST 2ND FLOOR, ATTN: CREDENTIALING DEPARTMENT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
033009
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008010088
—
CT
Enumeration date
07/07/2005
Last updated
12/06/2013
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