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Organization

HOSPITALIST PHYSICIANS OF EASTERN CONNECTICUT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER EL-HACHEM M.D. (OWNER)
(860) 423-1400
Entity
Organization

Contact information

Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 423-1400
(860) 423-0555
Mailing address
140 MANSFIELD AVE, WILLIMANTIC, CT 06226-2041
(860) 423-1400
(860) 423-0555

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
036809
CT
282N00000X
General Acute Care Hospital
042927
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D100000091
MEDICARE PTAN
CT
01
D400001723
MEDICARE PTAN
CT
01
D400001724
MEDICARE PTAN
CT
Enumeration date
12/30/2008
Last updated
02/17/2009
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