Organization
EAST HARTFORD FAMILY PRACTICE LLP
Active
Other names
East Hartford Family Practice LLP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MICHAEL DANYLIW M.D. (OWNER)
(860) 569-4430
Entity
Organization
Contact information
Practice address
110 MAIN ST, 1ST FL, EAST HARTFORD, CT 06118-3208
(860) 569-4430
(860) 569-4431
Mailing address
110 MAIN ST, 1ST FL, EAST HARTFORD, CT 06118-3208
(860) 569-4430
(860) 569-4431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
005874
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058742
—
CT
Enumeration date
11/16/2007
Last updated
11/16/2007
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