# GLASTONBURY OSTEOPATHIC, LLC

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

## Provider details

- **NPI number:** 1679667604
- **Authorized official:** ERNEST LUKE SQUATRITO D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (860) 659-5999

## Contact information

- **Practice address:** 59 SYCAMORE ST, SUITE 301, GLASTONBURY, CT 06033-4535
- **Practice address phone:** (860) 659-5999
- **Practice address fax:** (860) 633-9423
- **Mailing address:** 59 SYCAMORE ST, SUITE 301, GLASTONBURY, CT 06033-4535
- **Mailing address phone:** (860) 659-5999
- **Mailing address fax:** (860) 633-9423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 000536 | CT | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020