| Watertown Medical Associates, Llc | |
|
170 Main St Southington CT 06489-2506 | |
| (203) 558-5896 | |
| Not Available |
| Full Name | Watertown Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 170 Main St, Southington, Connecticut |
| Authorized Official Name and Position | Maximilian Gomez-trochez (OWNER) |
| Authorized Official Contact | 8602742418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watertown Medical Associates, Llc 365 Main St Ste 201 Watertown CT 06795-2249 Ph: (860) 274-2418 | Watertown Medical Associates, Llc 170 Main St Southington CT 06489-2506 Ph: (203) 558-5896 |
| NPI Number | 1063985323 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 05/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063985323 | NPI | - | NPPES |
| 049979 | Other | CT | CONNECTICARE |
| 1154493 | Other | CT | USA |
| P4376817 | Other | CT | OXFORD |
| 5856125 | Other | CT | CIGNA |
| P01040202 | Other | CT | RAILROAD MEDICARE |
| 05856125 | Other | CT | GREAT WEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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