# 360 MEDICAL GROUP CONNECTICUT P.C.

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

## Provider details

- **NPI number:** 1619892536
- **Authorized official:** JAMES VILLAR (ADMINISTRATOR)
- **Authorized official phone:** (551) 372-9260

## Contact information

- **Practice address:** 2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
- **Practice address phone:** (551) 372-9260
- **Mailing address:** 2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617

## Taxonomy

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

## Other

- **Enumeration date:** 08/11/2026
- **Last updated:** 08/11/2026