| Family Medicine Center,llc | |
|
574 E Middle Tpke Manchester CT 06040-3730 | |
| (860) 646-4334 | |
| Not Available |
| Full Name | Family Medicine Center,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 574 E Middle Tpke, Manchester, Connecticut |
| Authorized Official Name and Position | Denise Louise Macleod (OFFICE MANAGER) |
| Authorized Official Contact | 8606464060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Center,llc Po Box 112 Windsor CT 06095-0112 Ph: (860) 646-4334 | Family Medicine Center,llc 574 E Middle Tpke Manchester CT 06040-3730 Ph: (860) 646-4334 |
| NPI Number | 1427240910 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427240910 | NPI | - | NPPES |
| DA5952 | Other | CT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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