Organization
KENT MED PEDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH P FROLKIS MD (PRESIDENT & CEO)
(860) 350-7200
Entity
Organization
Contact information
Practice address
38 N MAIN ST, KENT, CT 06757-1511
(860) 927-4365
(860) 927-4366
Mailing address
38 N MAIN ST, KENT, CT 06757-1511
(860) 927-4365
(860) 927-4366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004230538
—
CT
Enumeration date
05/22/2006
Last updated
07/23/2008
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