WOODSTOCK MEDICAL
NPI 1790925105
Internal Medicine in South Woodstock, CT

Active since February 25, 2009
168 ROUTE 171, SOUTH WOODSTOCK, CT 06267(860) 928-9270(860) 928-1397 Get Directions Write a Review

NPPES record last updated: February 25, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Woodstock Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODSTOCK MEDICAL (NPI 1790925105) is a healthcare organization registered as an internal medicine in South Woodstock, Connecticut and active in the NPI registry since February 2009. The organization lists Julie Drouin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790925105
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePHYSICIAN SERVICES OF NORTHEAST CONNECTICUT, LLC
Location Address168 ROUTE 171South Woodstock, CT 06267
Mailing Address320 Pomfret St, Suite Csb#2Putnam, CT 06260-1836 · (860) 928-6541 · Fax (860) 963-6450
Fax(860) 928-1397
Organization SubpartYesParent: Day Kimball Hospital
Authorized OfficialJulie DrouinCfo · (860) 928-6541
Enumeration DateFebruary 25, 2009
NPI 1790925105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
168 ROUTE 171, South Woodstock, CT 06267

Other Names 1

Doing Business AsWoodstock Medical

Other Identifiers 1

Medicare PIND100000012CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Services Of Northeast Connecticut, LLC's NPI number?

The NPI number for Physician Services Of Northeast Connecticut, LLC is 1790925105. It was assigned to this organization in the NPPES registry on February 25, 2009. The provider is doing business as Woodstock Medical.

Where is Physician Services Of Northeast Connecticut, LLC located?

Physician Services Of Northeast Connecticut, LLC is located at 168 Route 171, South Woodstock, CT 06267. The listed phone number is (860) 928-9270.

What is Physician Services Of Northeast Connecticut, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Physician Services Of Northeast Connecticut, LLC was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.