| Family Practice Of Litchfield County, L.l.c. | |
|
52 Peck Rd Ste E Torrington CT 06790-6107 | |
| (860) 482-6513 | |
| (860) 489-7250 |
| Full Name | Family Practice Of Litchfield County, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 52 Peck Rd, Torrington, Connecticut |
| Authorized Official Name and Position | Elizabeth B. Galan (SOLE MEMBER) |
| Authorized Official Contact | 8604826513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Litchfield County, L.l.c. 52 Peck Rd Ste E Torrington CT 06790-6107 Ph: (860) 482-6513 | Family Practice Of Litchfield County, L.l.c. 52 Peck Rd Ste E Torrington CT 06790-6107 Ph: (860) 482-6513 |
| NPI Number | 1386737625 |
|---|---|
| Provider Enumeration Date | 10/01/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 2264408897 |
|---|---|
| Medicare Enrollment ID | O20050329001292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386737625 | NPI | - | NPPES |
| 001391169 | Medicaid | CT | |
| 039116 | Other | CT | STATE LICENS NUMBER |
| 30683 | Other | CT | STATE CONTR. SUBST. REG. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 039116 (Connecticut) | Primary |
| Provider Name | Elizabeth B Galan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972545689 PECOS PAC ID: 3476509704 Enrollment ID: I20090422000052 |
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