NPI | 1164649075 |
---|---|
Doing Business As | MADISON FAMILY PHYSICIANS |
Entity Type | Organization |
Authorized Contact | SUSAN SERKEY Practice Administrator 860-358-4802 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363A00000X Physician Assistant | |
207R00000X Internal Medicine | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2017-01-20 |