Organization
FAMILY HEALTH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO E. ISGUT M.D. (OWNER)
(203) 426-1818
Entity
Organization
Contact information
Practice address
19 CHURCH HILL RD, SUITE #2, NEWTOWN, CT 06470-1651
(203) 426-1818
(203) 426-9253
Mailing address
19 CHURCH HILL RD, SUITE #2, NEWTOWN, CT 06470-1651
(203) 426-1818
(203) 426-9253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016010
CT
207Q00000X
Family Medicine Physician
036795
CT
208000000X
Pediatrics Physician
016010
CT
363LA2200X
Adult Health Nurse Practitioner
002237
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03180
MEDICARE PTAN
CT
Enumeration date
03/29/2007
Last updated
10/05/2007
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