Organization
NWCT EMERGENCY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R PRETE MD (PRESIDENT/GENERAL PARTNER)
(860) 496-6435
Entity
Organization
Contact information
Practice address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6679
(860) 496-6666
Mailing address
PO BOX 1429, LITCHFIELD, CT 06759-1429
(860) 496-6435
(860) 482-8627
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500HBE262CT01
BCBS
—
01
—
628737
CONNECTICARE
—
Enumeration date
05/17/2006
Last updated
07/25/2012
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