HENRY S AMDUR

NORTHEAST MEDICAL GROUP INC

Dr HENRY S AMDUR is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1980.

Contact

NORTHEAST MEDICAL GROUP INC

194 HOWARD ST
NEW LONDON
CT
063205544

Tel: 8604443366

HENRY S AMDUR Information

Npi 1700920022
Pac Id 3476626730
Professional Enrollment Id I20080718000575
Last Name AMDUR
First Name HENRY
Middle Name S
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1980
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHEAST MEDICAL GROUP INC
Group Practice Pac Id 1254233836
Number Of Group Practice Members 1042
Line 1 Street Address 194 HOWARD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEW LONDON
State CT
Zip Code 063205544
Phone Number 8604443366
Hospital Affiliation Ccn 1 070007
Hospital Affiliation Lbn 1 LAWRENCE & MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 410013
Hospital Affiliation Lbn 2 WESTERLY HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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