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GLASTONBURY OSTEOPATHIC LLC NPI 1679667604


NPI Information

NPI: 1679667604
Provider Name: GLASTONBURY OSTEOPATHIC, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
59 SYCAMORE ST
SUITE 301
GLASTONBURY, CT
ZIP 06033
Phone: (860) 659-5999
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GLASTONBURY OSTEOPATHIC, LLC is a family medicine in Glastonbury, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GLASTONBURY OSTEOPATHIC, LLC NPI is 1679667604. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

59 SYCAMORE ST
SUITE 301
GLASTONBURY, CT
ZIP 06033-535
Phone: (860) 659-5999
Fax: (860) 633-9423

The provider's authorized official is Ernest Luke Squatrito .
The authorized official title is Physician/owner and has the following contact phone number (860) 659-5999.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine000536CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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