Organization
FAMILY MEDICINE CENTER
Active
Organization
FAMILY MEDICINE CENTER
Active
Other names
FAMILY MEDICINE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE L. MACLEOD (OFFICE MANAGER)
(860) 573-2900
Entity
Organization
Contact information
Practice address
574 MIDDLE TPKE E, MANCHESTER, CT 06040-3730
(860) 646-4334
(860) 646-7020
Mailing address
574 MIDDLE TPKE E, MANCHESTER, CT 06040-3730
(860) 646-4334
(860) 646-7020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3317
CT
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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