Organization
MHS PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN SERKEY (PRACTICE ADMINISTRATOR)
(860) 358-4802
Entity
Organization
Contact information
Practice address
PHYSICIAN OFFICE ONE, 250 FLAT ROCK PL, WESTBROOK, CT 06498-1565
(860) 358-3640
(860) 358-8656
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
CT
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04173259
—
CT
Enumeration date
04/25/2007
Last updated
07/01/2019
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