| NPI | 1730566381 |
|---|---|
| Doing Business As | FAMILY MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | DENISE L. MACLEOD Office Manager 860-573-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 3317) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |