Organization
COMPREHENSIVE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E. AMATO (PRACTICE MANAGER)
(860) 673-3737
Entity
Organization
Contact information
Practice address
40 DALE RD, SUITE 103, AVON, CT 06001-3692
(860) 673-3737
(860) 675-0640
Mailing address
40 DALE RD, SUITE 103, AVON, CT 06001-3692
(860) 673-3737
(860) 675-0640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002626
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669496113
MARY LEAHY, APRN NPI
CT
01
—
1942352794
DR. LALRUKH MUFTI NPI
CT
Enumeration date
03/21/2011
Last updated
11/15/2011
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