# GP FAMILYCARE, LLC

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

## Provider details

- **NPI number:** 1629263637
- **Authorized official:** GARY M. BERTMAN M.D. (OWNER)
- **Authorized official phone:** (860) 437-0333

## Contact information

- **Practice address:** 157 MONTAUK AVE, NEW LONDON, CT 06320-4842
- **Practice address phone:** (860) 437-0333
- **Practice address fax:** (860) 439-1330
- **Mailing address:** 157 MONTAUK AVE, NEW LONDON, CT 06320-4842
- **Mailing address phone:** (860) 437-0333
- **Mailing address fax:** (860) 439-1330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 016287 | CT | — |
| 207Q00000X | Family Medicine Physician | 028661 | CT | Yes |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 09/12/2007