Organization
MHS PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SERKEY (NETWORK EXECUTIVE)
(860) 358-4802
Entity
Organization
Contact information
Practice address
27 WILLIAM F PALMER RD, MOODUS, CT 06469-1132
(860) 873-1414
(860) 358-8659
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-6748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
CT
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/09/2013
Last updated
01/20/2017
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