NPI 1275801771

Physician Services of Northeast

Organisation Obstetrics & Gynecology Physician Putnam, CT

Practice location

Address: 320 Pomfret St Suite Csb2, Putnam, CT 06260-1836
Phone: (860) 928-6541
Fax: (860) 963-6450
Mailing address: 320 Pomfret St, Putnam, CT 06260-1836

Authorised official

Name: Julie Drouin
Title: Cfo
Phone: (860) 928-6541

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Connecticut →

Maternal & Fetal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207VM0101X

Registry record

NPI: 1275801771
Entity type: Organization
NPI issued: 12 Dec 2011
Record last updated: 30 Dec 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.