Organization
TORY Z WESTBROOK MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TORY Z WESTBROOK M.D. (FAMILY MEDICINE)
(860) 759-3599
Entity
Organization
Contact information
Practice address
1107 MANCHESTER RD, GLASTONBURY, CT 06033-2631
(860) 759-3599
Mailing address
1107 MANCHESTER RD, GLASTONBURY, CT 06033-2631
(860) 759-3599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
039082
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930000805
PTAN
CT
Enumeration date
02/01/2010
Last updated
08/11/2010
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