# BETHEL PRIMARY CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BETHEL PRIMARY CARE CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376095646
- **Legal business name:** BETHEL PRIMARY CARE CENTER LLC
- **Authorized official:** DR. MATTHEW DAVID AMARA D.O. (OWNER)
- **Authorized official phone:** (203) 456-8000

## Contact information

- **Practice address:** 6 STONY HILL RD, BETHEL, CT 06801-1053
- **Practice address phone:** (203) 456-8000
- **Practice address fax:** (203) 917-4923
- **Mailing address:** 6 STONY HILL RD, BETHEL, CT 06801-1053
- **Mailing address phone:** (203) 456-8000
- **Mailing address fax:** (203) 917-4923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 000438 | CT | Yes |

## Other

- **Enumeration date:** 11/02/2016
- **Last updated:** 11/02/2016