SOUTHEASTERN CT PRIMARY CARE, LLC is a primary care clinic center in Niantic, CT. SOUTHEASTERN CT PRIMARY CARE, LLC NPI is 1134591696. The provider is registered as an organization entity type.
The provider's business location address is:
10 LIBERTY WAY UNIT B10
NIANTIC, CT
ZIP 06357-033
Phone: (860) 691-8084
Fax: (860) 691-1195
The provider's authorized official is Rosalinda G Gaona .
The authorized official title is Physician and has the following contact phone number (860) 691-8084.
The CLIA number assigned to this NPI record is 07D2116496 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/23/2015 and was last updated on 2/5/2016.