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Organization

STORRS FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE DEMAIO (OFFICE MANAGER)
(860) 429-9321
Entity
Organization

Contact information

Practice address
1022 STORRS RD, STORRS MANSFIELD, CT 06268-2639
(860) 429-9321
(860) 429-4775
Mailing address
1022 STORRS RD, STORRS MANSFIELD, CT 06268-2639
(860) 429-9321
(860) 429-4775

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CT

Other

Enumeration date
04/02/2008
Last updated
04/02/2008
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