Organization
FEEL WELL HEALTH CENTER OF SOUTHINGTON, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P GREENE MD (PRESIDENT)
(860) 378-2891
Entity
Organization
Contact information
Practice address
710 MAIN ST BLDG 4, PLANTSVILLE, CT 06479-1567
(860) 378-2891
(860) 378-2894
Mailing address
710 MAIN ST BLDG 4, PLANTSVILLE, CT 06479-1567
(860) 378-2891
(860) 378-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004245082
—
CT
Enumeration date
02/20/2007
Last updated
02/28/2017
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