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Organization

VERNON URGENT CARE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA M PETRONE (PRACTICE MANAGER)
(860) 871-6939
Entity
Organization

Contact information

Practice address
224 HARTFORD TPKE, VERNON, CT 06066-4701
(860) 871-6939
(860) 871-2601
Mailing address
224 HARTFORD TPKE, VERNON, CT 06066-4701
(860) 871-6939
(860) 871-2601

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QE0002X
Emergency Care Clinic/Center
026993
CT
261QU0200X
Urgent Care Clinic/Center
Primary
026993
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004062014
CT
Enumeration date
10/20/2005
Last updated
01/05/2017
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