Organization
EASTERN CONNECTITCUT MEDICAL PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN JANE VIOLA PA (ORTHOPEDIC PHYSICIAN ASSISTANT)
(845) 392-7917
Entity
Organization
Contact information
Practice address
71 HAYNES ST, SUITE 1209, MANCHESTER, CT 06040-4131
(606) 598-5104
Mailing address
71 HAYNES ST, SUITE 1209, MANCHESTER, CT 06040-4131
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
002561
CT
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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