NPI 1689070989

Sam-Car LLC

Organisation Preferred Provider Organization East Lyme, CT

Practice location

Address: 15 Church Ln, East Lyme, CT 06333-1621
Phone: (860) 739-3447
Fax: (860) 739-4679

Authorised official

Name: Trasielyn Ademi
Title: Office Manager
Phone: (860) 739-3447

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 008671 (CT)

Other Preferred Provider Organization providers in Connecticut →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 008452 (CT)

Registry record

NPI: 1689070989
Entity type: Organization
NPI issued: 13 Nov 2014
Record last updated: 13 Nov 2014

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.