| Oversight Physician Services Ct Pllc | |
|
71 Haynes St Manchester CT 06040-4131 | |
| (845) 516-6518 | |
| (845) 516-6523 |
| Full Name | Oversight Physician Services Ct Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 71 Haynes St, Manchester, Connecticut |
| Authorized Official Name and Position | Erin Ross (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 8455166518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oversight Physician Services Ct Pllc 6565 Spring Brook Ave Rhinebeck NY 12572-3726 Ph: (845) 516-6518 | Oversight Physician Services Ct Pllc 71 Haynes St Manchester CT 06040-4131 Ph: (845) 516-6518 |
| NPI Number | 1407441512 |
|---|---|
| Provider Enumeration Date | 03/02/2021 |
| Last Update Date | 03/02/2021 |
| Certification Date | 03/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407441512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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