Individual
MR. SCOTT M. CREDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
194 HOWARD ST, NEW LONDON, CT 06320-5544
(860) 444-3366
Mailing address
99 HAWLEY LANE, FL. 3, CB-3427, NORTHEAST MEDICAL GROUP, INC., STRATFORD, CT 06614-1202
(203) 502-4650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
285443
MA
363LF0000X
Family Nurse Practitioner
Primary
3204
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811976111
—
CT
05
—
1811976111
—
RI
Enumeration date
01/13/2006
Last updated
02/16/2022
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