PRIORITY FAMILY HEALTHCARE OF NORTHEAST CONNECTICUT LLC NPI 1720391311

NPI Information

PRIORITY FAMILY HEALTHCARE OF NORTHEAST CONNECTICUT, LLC is a family medicine in Putnam, 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. PRIORITY FAMILY HEALTHCARE OF NORTHEAST CONNECTICUT, LLC NPI is 1720391311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

353 POMFRET ST
PUTNAM, CT
ZIP 06260-835
Phone: (860) 928-1111

The provider's authorized official is Raja Fattaleh .
The authorized official title is Owner and has the following contact phone number (860) 928-1111.

The CLIA number assigned to this NPI record is 07D1040242 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2010 and was last updated on 1/15/2015.

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:

Other Identifiers

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