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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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