Organization
WESTERN CONNECTICUT PRIMARY CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN F DAVIS M.D. (PRESIDENT)
(203) 790-4511
Entity
Organization
Contact information
Practice address
105 NEWTOWN RD, SUITE 1A, DANBURY, CT 06810-4114
(203) 790-4511
(203) 790-4512
Mailing address
105 NEWTOWN RD, SUITE 1A, DANBURY, CT 06810-4114
(203) 790-4511
(203) 790-4512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041832
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03757
MEDICARE PTAN
CT
01
—
DG4876
RAILROAD MEDICARE
—
Enumeration date
08/10/2007
Last updated
05/21/2008
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