Organization
JOHNSON OCCUPATIONAL MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ERDIL M.D. (MEDICAL DIRECTOR)
(860) 763-7668
Entity
Organization
Contact information
Practice address
3 WEYMOUTH RD, ENFIELD, CT 06083-1153
(860) 763-7668
(860) 763-7676
Mailing address
PO BOX 1153, 3 WEYMOUTH ROAD, ENFIELD, CT 06083-1153
(860) 763-7668
(860) 763-7676
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010023596CT11
ANTHEM
CT
01
—
010245
CONNECTICARE
CT
01
—
2V4744
HEALTHNET
CT
01
—
3015101
CIGNA
CT
01
—
CU7369
HEALTHNET
CT
01
—
P3201009
OXFORD
CT
Enumeration date
03/16/2007
Last updated
08/22/2020
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