Organization
NEWINGTON INTERNAL MEDICINE PRIMARY CARE,LLP
Active
Organization
NEWINGTON INTERNAL MEDICINE PRIMARY CARE,LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MARK KAGAN M.D. (MANAGING PARTNER)
(860) 665-1571
Entity
Organization
Contact information
Practice address
365 WILLARD AVE, SUITE 2-D, NEWINGTON, CT 06111-2373
(860) 665-1571
(860) 665-1571
Mailing address
365 WILLARD AVE, SUITE 2-D, NEWINGTON, CT 06111-2373
(860) 665-1571
(860) 665-1571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2006
Last updated
11/04/2009
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