# FARMINGTON VALLEY DIRECT PRIMARY CARE

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

## Provider details

- **NPI number:** 1679379747
- **Authorized official:** JUDY CHIU DO (MANAGING MEMBER)
- **Authorized official phone:** (201) 388-0574

## Contact information

- **Practice address:** 30 WEST AVON ROAD, AVON, CT 06001
- **Practice address phone:** (860) 269-3002
- **Practice address fax:** (860) 255-4002
- **Mailing address:** 47 PERRY DRIVE, BURLINGTON, CT 06013
- **Mailing address phone:** (201) 388-0574

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2025
- **Last updated:** 02/20/2025