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Organization

BETHEL PRIMARY CARE CENTER LLC

Active
Parent organization
BETHEL PRIMARY CARE CENTER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BETHEL PRIMARY CARE CENTER LLC
Authorized official
DR. MATTHEW DAVID AMARA D.O. (OWNER)
(203) 456-8000
Entity
Organization

Contact information

Practice address
6 STONY HILL RD, BETHEL, CT 06801-1053
(203) 456-8000
(203) 917-4923
Mailing address
6 STONY HILL RD, BETHEL, CT 06801-1053
(203) 456-8000
(203) 917-4923

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000438
CT

Other

Enumeration date
11/02/2016
Last updated
11/02/2016
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