Organization
MED EAST ASSOCIATES LLC
Active
Organization
MED EAST ASSOCIATES LLC
Active
Other names
MED EAST MEDICAL WALK IN CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE A HAKMILLER NA (ADMINISTRATOR)
(860) 456-1252
Entity
Organization
Contact information
Practice address
1703 MAIN ST, WILLIMANTIC, CT 06226-1133
(860) 456-1252
(860) 456-2278
Mailing address
1703 MAIN ST, WILLIMANTIC, CT 06226-1133
(860) 456-1252
(860) 456-2278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004088755
—
CT
Enumeration date
12/15/2005
Last updated
06/19/2008
Update your record
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