Organization
NUTMEG HEALTHCARE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D. CARLSON M.D. (PRESIDENT)
(860) 429-8439
Entity
Organization
Contact information
Practice address
47 E MAIN ST, STAFFORD SPRINGS, CT 06076-1227
(860) 684-5848
Mailing address
15 PALOMBA DR STE 4, ENFIELD, CT 06082-3853
(860) 741-0764
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
029923
CT
207Q00000X
Family Medicine Physician
Primary
—
CT
Other
Enumeration date
04/03/2007
Last updated
10/17/2011
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