Organization
COVENANT FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDOLPH RAMIREZ M.D. (PHYSICIAN/OWNER)
(203) 377-3666
Entity
Organization
Contact information
Practice address
2103 MAIN ST, STRATFORD, CT 06615-6300
(203) 377-3666
(203) 377-6500
Mailing address
2103 MAIN ST, STRATFORD, CT 06615-6300
(203) 377-3666
(203) 377-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CT
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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