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Organization

WINDHAM FAMILY MEDICAL SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES N PAPADAKOS (TREASURER)
(860) 456-6713
Entity
Organization

Contact information

Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2041
(860) 456-6713
Mailing address
132 MANSFIELD AVE, WILLIMANTIC, CT 06226-2027

Taxonomy

Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RP1001X
Pulmonary Disease Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician
207T00000X
Neurological Surgery Physician
208M00000X
Hospitalist Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004258415
CT
Enumeration date
04/26/2006
Last updated
09/21/2009
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