Organization
MANSFIELD FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WYSE (MEDICAL RECORDS)
(860) 487-0002
Entity
Organization
Contact information
Practice address
34 PROFESSIONAL PARK ROAD, STORRS, CT 06268
(860) 487-0002
(860) 429-1663
Mailing address
34 PROFESSIONAL PARK ROAD, STORRS, CT 06268
(860) 487-0002
(860) 429-1663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CT
Other
Enumeration date
08/18/2006
Last updated
07/21/2022
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