Organization
PHYSICIAN SERVICES OF NORTHEAST
Active
Parent organization
DAY KIMBALL HOSPITAL
Other names
PHYSICIAN SERVICES OF NORTHEAST CT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAY KIMBALL HOSPITAL
Authorized official
JULIE M DROUIN (CFO)
(860) 928-6541
Entity
Organization
Contact information
Practice address
320 POMFRET ST, SUITE, CSB2, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6091
Mailing address
320 POMFRET ST, SUITE CSB#2, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
08/06/2009
Last updated
12/09/2010
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