| Covenant Family Medicine Llc | |
|
2103 Main St Stratford CT 06615-6300 | |
| (203) 377-3666 | |
| (203) 377-6500 |
| Full Name | Covenant Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2103 Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Randolph Ramirez (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2033773666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Family Medicine Llc 2103 Main St Stratford CT 06615-6300 Ph: (203) 377-3666 | Covenant Family Medicine Llc 2103 Main St Stratford CT 06615-6300 Ph: (203) 377-3666 |
| NPI Number | 1720332562 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720332562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Connecticut) | Primary |
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