NPI 1174809966

Physician Services of Northeast

Organisation Clinic/Center Putnam, CT

Practice location

Address: 320 Pomfret St, Putnam, CT 06260-1836
Phone: (860) 928-6541
Fax: (860) 963-6450
Mailing address: PO Box 8469, Belfast, ME 04915-8469

Authorised official

Name: Christine L Vallee
Title: Vp Physician Services
Phone: (860) 928-6541

Registered specialties (3)

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Connecticut →

Midwife

Other Service Providers Taxonomy 176B00000X

Other Midwife providers in Connecticut →

Advanced Practice Midwife

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Other Advanced Practice Midwife providers in Connecticut →

Registry record

NPI: 1174809966
Entity type: Organization
NPI issued: 25 Oct 2011
Record last updated: 25 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.