# GLASTONBURY FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1740461730
- **Authorized official:** DR. CAMTU KARRENBAUER D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (860) 633-5115

## Contact information

- **Practice address:** 131 NEW LONDON TPKE, SUITE 322, GLASTONBURY, CT 06033-2246
- **Practice address phone:** (860) 633-5115
- **Practice address fax:** (860) 633-5125
- **Mailing address:** 131 NEW LONDON TPKE, SUITE 322, GLASTONBURY, CT 06033-2246
- **Mailing address phone:** (860) 633-5115
- **Mailing address fax:** (860) 633-5125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 039974 | CT | Yes |

## Other

- **Enumeration date:** 11/18/2007
- **Last updated:** 08/14/2008