Organization
WINDHAM FAMILY MEDICAL SERVICES, PC
Active
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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