| Somers Family Practice, Llc | |
|
24 Battle Street Suite 1a Somers CT 06071 | |
| (860) 749-8887 | |
| (860) 749-7421 |
| Full Name | Somers Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 24 Battle Street, Somers, Connecticut |
| Authorized Official Name and Position | Ian Sterling Tucker (OWNER) |
| Authorized Official Contact | 8607498887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somers Family Practice, Llc P.o. Box 959 Somers CT 06071 Ph: (860) 749-8887 | Somers Family Practice, Llc 24 Battle Street Suite 1a Somers CT 06071 Ph: (860) 749-8887 |
| NPI Number | 1396916912 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396916912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 039732 (Connecticut) | Primary |
Stafford Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 146 Main St, Somers, CT 06071 Phone: 860-749-8018 Fax: 860-316-4015 |