Organization
CLOUTIER FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEE DIANE CLOUTIER M.D. (MEMBER)
(860) 389-2546
Entity
Organization
Contact information
Practice address
NAVAL BRANCH HEALTH CLINIC, 1 WAHOO DRIVE, GROTON, CT 06349
(860) 694-1523
Mailing address
3 HIGHWOOD RD, NIANTIC, CT 06357-1808
(860) 758-7888
(860) 365-6961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790860419
—
CT
Enumeration date
01/29/2008
Last updated
03/08/2023
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