| Ctpc01 Pc | |
|
1171 E Main St Torrington CT 06790-3963 | |
| (860) 866-4321 | |
| (860) 866-4423 |
| Full Name | Ctpc01 Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1171 E Main St, Torrington, Connecticut |
| Authorized Official Name and Position | Donna Lovallo (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8603091891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ctpc01 Pc 7 Watson Dr West Simsbury CT 06092-2233 Ph: (860) 866-4321 | Ctpc01 Pc 1171 E Main St Torrington CT 06790-3963 Ph: (860) 866-4321 |
| NPI Number | 1295296424 |
|---|---|
| Provider Enumeration Date | 03/29/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295296424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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