| NPI | 1902146996 |
|---|---|
| Doing Business As | SOUTHINGTON FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN EDWIN RIVERA Owner 860-621-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 042567) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-05-02 |