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GLASTONBURY FAMILY MEDICINE LLC NPI 1740461730


NPI Information

NPI: 1740461730
Provider Name: GLASTONBURY FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
131 NEW LONDON TPKE
SUITE 322
GLASTONBURY, CT
ZIP 06033
Phone: (860) 633-5115
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GLASTONBURY FAMILY MEDICINE 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 FAMILY MEDICINE LLC NPI is 1740461730. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

131 NEW LONDON TPKE
SUITE 322
GLASTONBURY, CT
ZIP 06033-246
Phone: (860) 633-5115
Fax: (860) 633-5125

The provider's authorized official is Camtu Karrenbauer .
The authorized official title is Physician/owner and has the following contact phone number (860) 633-5115.

The enumeration date for this NPI number is 11/18/2007 and was last updated on 8/14/2008.


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 Medicine039974CONNECTICUTYes

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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