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
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