Associated Specialists Of Southeastern Connecticut, INC.
Internal Medicine in New London, CT. Organization (NPI-2).
NPI number1588844591
StatusActive
Last updated in NPPESMay 8, 2013
Details
- NPI
- 1588844591
- Entity type
- Organization (NPI-2)
- Legal business name
- Associated Specialists Of Southeastern Connecticut, INC.
- Organization subpart
- Yes
- Enumeration date
- Nov 7, 2007
- Last updated
- May 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | – | – | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | |
| 363LN0000X | Nurse Practitioner, Neonatal | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 207QS1201X | Family Medicine, Sleep Medicine | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 363LA2100X | Nurse Practitioner, Acute Care | – | – | |
| 103G00000X | Clinical Neuropsychologist | – | CT | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 1041C0700X | Social Worker, Clinical | – | CT |
Practice location
365 Montauk AveNew London, CT 06320-4700
Phone 860-442-0711
Mailing address
2 Lorenz Industrial ParkwayLedyard, CT 06339-1946
Phone 860-464-3045 · Fax 860-464-3043
Authorized official
Pamela Kane
Vice President
8604420711
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