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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