Organization
ASYLUM HILL FAMILY MEDICINE CENTER INC
Active
Other names
Family Medicine Center at Asylum Hill, Family Medicine Center at East Hartford
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A SOBCHUK (PRACTICE SUPERVISOR)
(860) 714-6594
Entity
Organization
Contact information
Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080
Mailing address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4139962
—
CT
Enumeration date
05/25/2006
Last updated
03/07/2025
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