Organization
PHYSICIAN SERVICES OF NORTHEAST CONNECTICUT, LLC
Active
Parent organization
DAY KIMBALL HOSPITAL
Other names
Woodstock Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAY KIMBALL HOSPITAL
Authorized official
JULIE DROUIN (CFO)
(860) 928-6541
Entity
Organization
Contact information
Practice address
168 ROUTE 171, SOUTH WOODSTOCK, CT 06267
(860) 928-9270
(860) 928-1397
Mailing address
320 POMFRET ST, SUITE CSB#2, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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