Healthcare Provider Details

I. General information

NPI: 1508122672
Provider Name (Legal Business Name): NEW ENGLAND URGENT CARE SIMSBURY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2012
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 STEELE RD
WEST HARTFORD CT
06119-1047
US

IV. Provider business mailing address

133 STEELE RD
WEST HARTFORD CT
06119-1047
US

V. Phone/Fax

Practice location:
  • Phone: 860-236-3911
  • Fax: 860-236-3911
Mailing address:
  • Phone: 860-236-3911
  • Fax: 860-236-3911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL GUTMAN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 860-236-3911