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Organization
FAMILY MEDICINE ON THE GREEN
Active
Organization
FAMILY MEDICINE ON THE GREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN D BECK MD (DOCTOR)
(860) 355-6963
Entity
Organization
Contact information
Practice address
50 BRIDGE ST, NEW MILFORD, CT 06776-3531
(860) 355-6963
Mailing address
50 BRIDGE ST, NEW MILFORD, CT 06776-3531
(860) 355-6963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042308
CT
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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