Organization
PRIMARY PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN E SADOWSKI APRN DC (SOLE OWNER)
(860) 763-2225
Entity
Organization
Contact information
Practice address
143 HAZARD AVE, ENFIELD, CT 06082-4521
(860) 763-2225
Mailing address
143 HAZARD AVE, ENFIELD, CT 06082-4521
(860) 763-2225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
006454
CT
Other
Enumeration date
01/06/2017
Last updated
01/31/2022
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