Organization
ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC.
Active
Organization
ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC.
Active
Parent organization
LAWRENCE & MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWRENCE & MEMORIAL HOSPITAL
Authorized official
MRS. PAMELA KANE (VICE PRESIDENT)
(860) 442-0711
Entity
Organization
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
2 LORENZ INDUSTRIAL PARKWAY, LEDYARD, CT 06339-1946
(860) 464-3045
(860) 464-3043
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
CT
1041C0700X
Clinical Social Worker
—
CT
207Q00000X
Family Medicine Physician
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/07/2007
Last updated
05/08/2013
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