Organization
PHYSICIANS ALLIANCE OF CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE BARCHAT (COO)
(203) 488-7228
Entity
Organization
Contact information
Practice address
322 E MAIN ST, 1B, BRANFORD, CT 06405
(203) 488-7228
(203) 488-7227
Mailing address
322 E MAIN ST, 1B, BRANFORD, CT 06405-3136
(203) 488-7228
(203) 488-7227
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
291U00000X
Clinical Medical Laboratory
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/29/2013
Last updated
12/04/2020
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