Organization · NPI-2
Mhs Primary Care
Family Medicine · Portland, CT
NPI number1710104625
StatusActive
Last updated in NPPESSep 8, 2017
Details
- NPI
- 1710104625
- Entity type
- Organization (NPI-2)
- Legal business name
- Mhs Primary Care
- Organization subpart
- No
- Enumeration date
- Apr 20, 2007
- Last updated
- Sep 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 207R00000X | Internal Medicine | – | CT | |
| 363A00000X | Physician Assistant | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- George Rosenfeld, MD (Doing Business As)
Practice location
270 Main StPortland, CT 06480-1857
Phone 860-342-3392 · Fax 860-358-8658
Mailing address
28 Crescent StMiddletown, CT 06457-3654
Phone 860-358-4819 · Fax 860-632-0240
Authorized official
Susan Serkey
Practice Administrator
8603584802
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