Dr LORETTA HALLOCK is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2012 from Philadelphia College Of Osteopathic Medicine.
NORTHEAST MEDICAL GROUP INC
4 CORPORATE DR
SUITE 286
SHELTON
CT
064846241
Tel: 2039299000
| Npi | 1881960201 |
| Pac Id | 7517254766 |
| Professional Enrollment Id | I20161003000966 |
| Last Name | HALLOCK |
| First Name | LORETTA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
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| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Group Practice Pac Id | 1254233836 |
| Number Of Group Practice Members | 1042 |
| Line 1 Street Address | 4 CORPORATE DR |
| Line 2 Street Address | SUITE 286 |
| Marker Of Address Line 2 Suppression | |
| City | SHELTON |
| State | CT |
| Zip Code | 064846241 |
| Phone Number | 2039299000 |
| Hospital Affiliation Ccn 1 | 070010 |
| Hospital Affiliation Lbn 1 | BRIDGEPORT HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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