East Haddam Medical Associate, PC
East Haddam Medical Associate, PC is a Family Medicine Physician in Moodus, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.
- Licensed in
- CT
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16 William F Palmer RdMoodus, CT 06469-1131
Phone: (860) 873-1414
Fax: (860) 873-3428
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 000457 (CT) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 024845 (CT) |
Record details
| NPI number | 1063472363 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Gourlie — Office Manager · (860) 873-8983 |
| NPI enumerated | March 23, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 16 William F Palmer Rd, P O Box 430, Moodus, CT 06469-1131 |
Other providers in Moodus
-
Dr. Eric Fisher, DO
27 William F Palmer Rd, Moodus, CT 06469-1132 · (860) 358-5220
-
Daniel A Henriquez, MD
27 William F Palmer Rd, Moodus, CT 06469-1132 · (860) 358-5220
-
Mhs Primary Care Inc
27 William F Palmer Rd, Moodus, CT 06469-1132 · (860) 873-1414