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Organization

PROHEALTH PHYSICIANS PC

Active
Parent organization
PROHEALTH PHYSICIANS
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROHEALTH PHYSICIANS
Authorized official
MR. PHILIP M PIN (SR. VP & CEO)
(860) 284-5200
Entity
Organization

Contact information

Practice address
4 FARM SPRINGS RD, FARMINGTON, CT 06032-2573
(860) 284-5200
Mailing address
4 FARM SPRINGS RD, FARMINGTON, CT 06032-2573

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
246XS1301X
Sonography Specialist/Technologist Cardiovascular
2471C3402X
Radiography Radiologic Technologist

Other

Enumeration date
02/15/2008
Last updated
07/03/2017
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