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163 Broadway St Colchester CT 06415-1022 | |
| (860) 537-4601 | |
| (860) 537-6935 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 163 Broadway St, Colchester, Connecticut |
| Authorized Official Name and Position | Daniel Lohr (VICE PRESIDENT) |
| Authorized Official Contact | 8608898331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
112 Lafayette St Norwich CT 06360-2737 Ph: (860) 425-8715 | 163 Broadway St Colchester CT 06415-1022 Ph: (860) 537-4601 |
| NPI Number | 1700962040 |
|---|---|
| Provider Enumeration Date | 10/30/2006 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700962040 | NPI | - | NPPES |
| 004167864 | Medicaid | CT |
Colchester Internal Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 Old Hartford Rd, Unit #6, Colchester, CT 06415 Phone: 860-537-2262 Fax: 860-537-2273 | |
Colchester Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Broadway St, Colchester, CT 06415 Phone: 860-537-3204 Fax: 860-537-3208 |