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Organization

CONNCARE INC

Active
Other names
Backus Health Centers
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL LOHR (VICE PRESIDENT)
(860) 889-8331
Entity
Organization

Contact information

Practice address
163 BROADWAY ST, COLCHESTER, CT 06415-1022
(860) 537-4601
(860) 537-6935
Mailing address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 425-8715
(860) 425-8707

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
261QP2300X
Primary Care Clinic/Center
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004167864
CT
Enumeration date
10/30/2006
Last updated
07/19/2012
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