Organization
ADULT FAMILY PRACTICE LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIRA GALARZA (OFFICE MANAGER)
(203) 269-9778
Entity
Organization
Contact information
Practice address
850 N MAIN ST EXT, BLDG 2 SUITE C2, WALLINGFORD, CT 06492
(203) 269-9778
(203) 949-1544
Mailing address
850 N MAIN ST EXT, BLDG 2 SUITE C2, WALLINGFORD, CT 06492
(203) 269-9778
(203) 949-1544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038503
CT
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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