Family Practice Professionals | |
113 Wesley Dr Huntington CT 06484-5248 | |
(203) 929-2165 | |
(203) 929-2165 |
Full Name | Family Practice Professionals |
---|---|
Speciality | Family Medicine |
Location | 113 Wesley Dr, Huntington, Connecticut |
Authorized Official Name and Position | David M Lauren (PHYSICIAN) |
Authorized Official Contact | 2039292165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Practice Professionals 113 Wesley Dr Huntington CT 06484-5248 Ph: (203) 929-2165 | Family Practice Professionals 113 Wesley Dr Huntington CT 06484-5248 Ph: (203) 929-2165 |
NPI Number | 1063528677 |
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Provider Enumeration Date | 08/23/2006 |
Last Update Date | 11/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063528677 | NPI | - | NPPES |
0984672 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 47449 (Connecticut) | Primary |