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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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