# MHS PRIMARY CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Family Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164649075
- **Authorized official:** MS. SUSAN SERKEY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (860) 358-4802

## Contact information

- **Practice address:** 1291 BOSTON POST RD, SUITE 105, MADISON, CT 06443-3476
- **Practice address phone:** (203) 245-1413
- **Practice address fax:** (203) 318-0814
- **Mailing address:** 28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
- **Mailing address phone:** (860) 358-4819
- **Mailing address fax:** (860) 632-0240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | CT | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 01/20/2017