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Organization

GP FAMILYCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY M. BERTMAN M.D. (OWNER)
(860) 437-0333
Entity
Organization

Contact information

Practice address
157 MONTAUK AVE, NEW LONDON, CT 06320-4842
(860) 437-0333
(860) 439-1330
Mailing address
157 MONTAUK AVE, NEW LONDON, CT 06320-4842
(860) 437-0333
(860) 439-1330

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
016287
CT
207Q00000X
Family Medicine Physician
Primary
028661
CT

Other

Enumeration date
09/12/2007
Last updated
09/12/2007
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