# UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588977797
- **Authorized official:** MS. ANNE SCHICK MBA (DIRECTOR OF GRADUATE MEDICAL EDUCAT)
- **Authorized official phone:** (860) 679-2147

## Contact information

- **Practice address:** 263 FARMINGTON AVE, FARMINGTON, CT 06030-5215
- **Practice address phone:** (860) 679-3958
- **Practice address fax:** (860) 679-1307
- **Mailing address:** 357 BRITTANY FARMS RD APT H322, NEW BRITAIN, CT 06053-1102
- **Mailing address phone:** (860) 679-8694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 047478 | CT | Yes |

## Other

- **Enumeration date:** 07/16/2010
- **Last updated:** 07/16/2010