Beaver Pond Brook Emergency Physicians Llc

LBN: Beaver Pond Brook Emergency Physicians Llc
Beaver Pond Brook Emergency Physicians Llc is an health care organization with primary practice located at 3081 E Main St , Waterbury CT 06705-3424. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Beaver Pond Brook Emergency Physicians Llc can be contacted via phone (469) 401-2386, or through Harris, Russell via phone (469) 401-2386.

Contact Information

Primary practice address
3081 E Main St Waterbury CT 06705-3424
Phone: (469) 401-2386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, Russell Doctor of Medicine (MD)
Phone: (469) 401-2386

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1386173201
LBN Legal business name Beaver Pond Brook Emergency Physicians Llc
DBA Doing business as
Authorized official Harris, Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2017
Last updated Jun 5th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers