# COLCHESTER URGENT CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Urgent Care of Colchester
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225702566
- **Authorized official:** DR. SRINIVASULU CONJEEVARAM MD (OWNER)
- **Authorized official phone:** (630) 207-2557

## Contact information

- **Practice address:** 100 LINWOOD AVE FL 1, COLCHESTER, CT 06415-1138
- **Practice address phone:** (630) 207-2556
- **Mailing address:** 100 LINWOOD AVE FL 1, COLCHESTER, CT 06415-1138
- **Mailing address phone:** (630) 207-2556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2021
- **Last updated:** 03/17/2022