Prohealth Physicians, Inc.

NPI 1003996463 - Internal Medicine - 207R00000X

NPI Details
NPI 1003996463
Enumeration Date 10/17/2006
Last Updated 08/06/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACK JACK
Position PRESIDENT & CEO
Phone (860) 284-5200
Fax
Practice Location
4 FARM SPRINGS ROAD
PROHEALTH PHYSICIANS
FARMINGTON CT, 06032-2573, US
Phone (860) 284-5200
Fax
Business Location
4 FARM SPRINGS ROAD
PROHEALTH PHYSICIANS
FARMINGTON CT, 06032-2573, US
Phone (860) 284-5200
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Prohealth Physicians, Inc. NPI is 1003996463, taxonomy code is 207R00000X Prohealth Physicians, Inc. physically located at 4 Farm Springs Road, Farmington CT, 06032-2573. NPI Number 1033115704 has the healthcare provider type.

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1003996463 NPI number is provided on an as is basis without warranty of any kind. 1003996463 is maintained by the National Plan & Provider Enumeration System. The contents of Prohealth Physicians, Inc. are for informational purposes only.