| Shoreline Family Practice Llp | |
|
36 Clark Ln Waterford CT 06385-2310 | |
| (860) 442-5565 | |
| (860) 444-2673 |
| Full Name | Shoreline Family Practice Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 36 Clark Ln, Waterford, Connecticut |
| Authorized Official Name and Position | David Golden (PARTNER) |
| Authorized Official Contact | 8604425565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Family Practice Llp 36 Clark Ln Waterford CT 06385-2310 Ph: (860) 442-5565 | Shoreline Family Practice Llp 36 Clark Ln Waterford CT 06385-2310 Ph: (860) 442-5565 |
| NPI Number | 1205943081 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205943081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 031420 (Connecticut) | Primary |
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