Organization
WATERTOWN MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIMILIAN GOMEZ-TROCHEZ MD (OWNER)
(860) 274-2418
Entity
Organization
Contact information
Practice address
170 MAIN ST, SOUTHINGTON, CT 06489-2506
(203) 558-5896
Mailing address
365 MAIN ST STE 201, WATERTOWN, CT 06795-2249
(860) 274-2418
(860) 274-2986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049979
CONNECTICARE
CT
01
—
05856125
GREAT WEST
CT
01
—
1154493
USA
CT
01
—
5856125
CIGNA
CT
01
—
P01040202
RAILROAD MEDICARE
CT
01
—
P4376817
OXFORD
CT
Enumeration date
01/09/2019
Last updated
05/07/2026
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