| NPI | 1083660096 |
|---|---|
| Doing Business As | FAMILY MEDICINE CENTER AT EAST HARTFORD |
| Doing Business As | FAMILY MEDICINE CENTER AT ASYLUM HILL |
| Entity Type | Organization |
| Authorized Contact | LISA A SOBCHUK Is/Billing Manager 860-714-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-08-24 |