# PARTNERS IN PRIMARY CARE, LLC

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

## Provider details

- **NPI number:** 1952586000
- **Authorized official:** DR. DAVID JONATHAN FREDERIKS MD (MEMBER)
- **Authorized official phone:** (860) 510-0792

## Contact information

- **Practice address:** 1358 BOSTON POST RD, UNIT 1, OLD SAYBROOK, CT 06475-1749
- **Practice address phone:** (860) 510-0792
- **Practice address fax:** (860) 510-0793
- **Mailing address:** 1358 BOSTON POST RD, UNIT 1, OLD SAYBROOK, CT 06475-1749
- **Mailing address phone:** (860) 510-0792
- **Mailing address fax:** (860) 510-0793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036811 | CT | Yes |
| 207R00000X | Internal Medicine Physician | 042678 | CT | — |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 01/09/2008