# FAMILY MEDICINE ON THE GREEN

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

## Provider details

- **NPI number:** 1780844167
- **Authorized official:** DR. JONATHAN D BECK MD (DOCTOR)
- **Authorized official phone:** (860) 355-6963

## Contact information

- **Practice address:** 50 BRIDGE ST, NEW MILFORD, CT 06776-3531
- **Practice address phone:** (860) 355-6963
- **Mailing address:** 50 BRIDGE ST, NEW MILFORD, CT 06776-3531
- **Mailing address phone:** (860) 355-6963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 042308 | CT | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008