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FAMILY MEDICINE CENTER NPI 1730566381


NPI Information

NPI: 1730566381
Provider Name: FAMILY MEDICINE CENTER

Doing Business As: FAMILY MEDICINE CENTER

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
574 MIDDLE TPKE E
MANCHESTER, CT
ZIP 06040
Phone: (860) 646-4334
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FAMILY MEDICINE CENTER is a medical physician assistant in Manchester, CT. FAMILY MEDICINE CENTER NPI is 1730566381. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Medicine Center.

The provider's business location address is:

574 MIDDLE TPKE E
MANCHESTER, CT
ZIP 06040-730
Phone: (860) 646-4334
Fax: (860) 646-7020

The provider's authorized official is Denise L. Macleod .
The authorized official title is Office Manager and has the following contact phone number (860) 573-2900.

The enumeration date for this NPI number is 5/4/2015 and was last updated on 5/4/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical3317CONNECTICUTYes

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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