New London Family Practice, P.c. | |
4 Shaws Cv Suite 103 New London CT 06320-4956 | |
(860) 443-3778 | |
Not Available |
Full Name | New London Family Practice, P.c. |
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Speciality | Family Medicine |
Location | 4 Shaws Cv, New London, Connecticut |
Authorized Official Name and Position | Steven P Johnson (CO-OWNER) |
Authorized Official Contact | 8604433778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New London Family Practice, P.c. 4 Shaws Cv Suite 103 New London CT 06320-4956 Ph: (860) 443-3778 | New London Family Practice, P.c. 4 Shaws Cv Suite 103 New London CT 06320-4956 Ph: (860) 443-3778 |
NPI Number | 1972636793 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1972636793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 027140 (Connecticut) | Primary |
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