Organization
MHS PRIMARY CARE
Active
Organization
MHS PRIMARY CARE
Active
Other names
Essex Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN SERKEY (PRACTICE ADMINISTRATOR)
(860) 358-4802
Entity
Organization
Contact information
Practice address
147 WESTBROOK RD, ESSEX, CT 06426-1512
(860) 767-8265
(860) 767-6360
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4819
(860) 632-0240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CT
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04181343
—
CT
Enumeration date
04/20/2007
Last updated
01/20/2017
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