Organization
SOMERS FAMILY PRACTICE
Active
Organization
SOMERS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN TUCKER (MEDICAL DIRECTOR/OWNER/PRESIDENT)
(860) 749-8887
Entity
Organization
Contact information
Practice address
24 BATTLE ST, SUITE 1A, SOMERS, CT 06071-1629
(860) 749-8887
Mailing address
24 BATTLE ST, SUITE 1A, SOMERS, CT 06071-1629
(860) 749-8887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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