Organization
PLAINFIELD WALK IN MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH BRIONES M.D. (OWNER)
(860) 564-4054
Entity
Organization
Contact information
Practice address
558 NORWICH RD, PLAINFIELD, CT 06374-1725
(860) 564-4054
(860) 564-0354
Mailing address
558 NORWICH RD, PLAINFIELD, CT 06374-1725
(860) 564-4054
(860) 564-0354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001379199
—
CT
01
—
010037919CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
05/09/2007
Last updated
11/20/2012
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