Organization
INTERNAL MEDICINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNA KACKIELO MD (OWNER)
(860) 887-0010
Entity
Organization
Contact information
Practice address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 887-0010
(860) 887-0178
Mailing address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 887-0010
(860) 887-0178
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
037461
CT
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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