Organization
OCCUPATIONAL MEDICINE OF THE NORTHEAST, LLC
Active
Other names
The Doctors Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A KEI M.D. (MEMBER)
(860) 747-4541
Entity
Organization
Contact information
Practice address
240 EAST ST, PLAINVILLE, CT 06062-2935
(860) 747-4541
(860) 793-1218
Mailing address
240 EAST ST, PLAINVILLE, CT 06062-2935
(860) 747-4541
(860) 793-1218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
027429
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D100021321
MEDICARE PTAN
—
Enumeration date
03/19/2010
Last updated
08/14/2013
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