Organization
WINDHAM COMMUNITY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE M MACKIE (FINANCIAL OFFICER)
(860) 425-8755
Entity
Organization
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(860) 456-6752
(203) 265-4557
Mailing address
PO BOX 4131, YALESVILLE, CT 06492-1481
(203) 284-1340
(203) 265-4557
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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