# CT COMPREHENSIVE MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CT COMPREHENSIVE MEDICAL PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104528587
- **Legal business name:** CT COMPREHENSIVE MEDICAL PLLC
- **Authorized official:** DEIDRE SCHETTINO (MANAGER)
- **Authorized official phone:** (845) 464-6289

## Contact information

- **Practice address:** 71 OXFORD RD UNIT L, OXFORD, CT 06478-1900
- **Practice address phone:** (203) 828-0013
- **Mailing address:** 71 OXFORD RD UNIT L, OXFORD, CT 06478-1900
- **Mailing address phone:** (203) 828-0013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2023
- **Last updated:** 03/20/2023