Organization
TOLLAND COUNTY PEDIATRICS & ADOLESCENT MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H SENECHAL MD (PARTNER)
(860) 875-9856
Entity
Organization
Contact information
Practice address
239 MERROW RD, TOLLAND, CT 06084-3915
(860) 875-9856
(860) 875-9868
Mailing address
239 MERROW RD, TOLLAND, CT 06084-3915
(860) 875-9856
(860) 875-9868
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004252128
—
CT
01
—
2080A0000X
TAXONOMY NUMBER
—
Enumeration date
05/09/2007
Last updated
02/06/2013
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