Organization
HOSPITAL INTERNISTS OF NEW LONDON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J KEVIN SHUSHTARI M.D. (CHIEF HOSPITALIST)
(860) 442-0711
Entity
Organization
Contact information
Practice address
365 MONTAUK AVE, ROOM 4.512, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 444-5114
Mailing address
365 MONTAUK AVE, ROOM 4.512, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 444-5114
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK7876
RAILROAD
—
Enumeration date
07/25/2006
Last updated
08/22/2020
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