| Prospect Family Medicine, Pc | |
|
115 Waterbury Rd. Prospect CT 06712 | |
| (203) 758-5660 | |
| Not Available |
| Full Name | Prospect Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Waterbury Rd., Prospect, Connecticut |
| Authorized Official Name and Position | Drew Jameson Edwards (OWNER) |
| Authorized Official Contact | 2037585660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Family Medicine, Pc 115 Waterbury Rd. Po Box 7038 Prospect CT 06712 Ph: (203) 758-5660 | Prospect Family Medicine, Pc 115 Waterbury Rd. Prospect CT 06712 Ph: (203) 758-5660 |
| NPI Number | 1972664217 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972664217 | NPI | - | NPPES |
| G1897306 | Other | CT | OXFORD GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Greater Waterbury Primary Care Assoc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Waterbury Road, Ste 300, Prospect, CT 06712 Phone: 203-758-0878 Fax: 203-758-0877 | |
Primary Care Partners, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Waterbury Rd, Suite 300, Prospect, CT 06712 Phone: 203-758-0878 Fax: 203-758-0877 |