Organization
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, PC
Active
Organization
SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LARSON (OFFICE MANAGER)
(860) 447-1426
Entity
Organization
Contact information
Practice address
447 MONTAUK AVE, NEW LONDON, CT 06320-4605
(860) 447-1426
(860) 447-0348
Mailing address
47 MONTAUK AVE, NEW LONDON, CT 06320-4951
(860) 447-1426
(860) 447-0348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
10/05/2007
Last updated
12/12/2013
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