Organization
EMERGENCY PHYSICIANS OF CONNECTICUT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MOUGANIS (PE DIRECTOR)
(856) 686-4394
Entity
Organization
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(856) 686-4300
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4342
(865) 692-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/29/2015
Last updated
12/22/2022
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