Organization
NORTHEAST EMERGENCY MEDICINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE WINCHESTER MD (MANAGER)
(800) 261-0048
Entity
Organization
Contact information
Practice address
112 MANSFIELD AVE, WILLIMANTIC, CT 06226-2045
(800) 261-0048
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500HBE466CT01
ANTHEM BCBS
CT
Enumeration date
01/02/2008
Last updated
11/06/2009
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