Organization
NEW ENGLAND PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINOD PATHY M.D. (PRESEIDENT)
(860) 390-6000
Entity
Organization
Contact information
Practice address
5 DAVIS ROAD EAST, OLD LYME, CT 06371
(860) 390-6000
(860) 215-8150
Mailing address
5 DAVIS ROAD EAST, OLD LYME, CT 06371
(860) 390-6000
(860) 215-8150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001845
CT
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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