Full Name | |
---|---|
Speciality | Family Medicine |
Location | 6 Main St., Durham, Connecticut |
Authorized Official Name and Position | Susan Serkey (NETWORK EXECUTIVE) |
Authorized Official Contact | 8603584802 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
28 Crescent St Middletown CT 06457-3654 Ph: (860) 358-4802 | 6 Main St. Durham CT 06422 Ph: (860) 349-1058 |
NPI Number | 1942429014 |
---|---|
Provider Enumeration Date | 04/25/2007 |
Last Update Date | 01/20/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942429014 | NPI | - | NPPES |
04173259 | Medicaid | CT |