East Haddam Medical Associate,Pc

LBN: East Haddam Medical Associate,Pc
East Haddam Medical Associate,Pc is an health care organization with primary practice located at 16 William F Palmer Rd , Moodus CT 06469-1131. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. East Haddam Medical Associate,Pc can be contacted via phone (860) 873-1414, or through Gourlie, Pamela via phone (860) 873-8983.

Contact Information

Primary practice address
16 William F Palmer Rd Moodus CT 06469-1131
Phone: (860) 873-1414
Fax: (860) 873-3428
Website:
Map and Directions
Authorized official contact:
Name: Gourlie, Pamela
Phone: (860) 873-8983

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 024845 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000457 Connecticut

Profile Details

NPI number 1063472363
LBN Legal business name East Haddam Medical Associate,Pc
DBA Doing business as
Authorized official Gourlie, Pamela
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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