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Organization
COLCHESTER URGENT CARE CENTER LLC
Active
Organization
COLCHESTER URGENT CARE CENTER LLC
Active
Other names
The Urgent Care of Colchester
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVASULU CONJEEVARAM MD (OWNER)
(630) 207-2557
Entity
Organization
Contact information
Practice address
100 LINWOOD AVE FL 1, COLCHESTER, CT 06415-1138
(630) 207-2556
Mailing address
100 LINWOOD AVE FL 1, COLCHESTER, CT 06415-1138
(630) 207-2556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
03/17/2022
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