| Southington Family Medical Center | |
|
1753 Meriden-waterbury Rd Milldale CT 06467-0770 | |
| (860) 621-5554 | |
| (860) 621-3833 |
| Full Name | Southington Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1753 Meriden-waterbury Rd, Milldale, Connecticut |
| Authorized Official Name and Position | John Edwin Rivera (DIRECTOR) |
| Authorized Official Contact | 8606215554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southington Family Medical Center 1753 Meriden-waterbury Rd Milldale CT 06467-0770 Ph: (860) 621-5554 | Southington Family Medical Center 1753 Meriden-waterbury Rd Milldale CT 06467-0770 Ph: (860) 621-5554 |
| NPI Number | 1154387264 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154387264 | NPI | - | NPPES |
| 042567 | Other | CT | LIC-JOHN E. RIVERA, JR MD |
| 026829 | Other | CT | LIC-JOHN E. RIVERA, M.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 026829 (Connecticut) | Primary |
Southington Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1753 Meriden-waterbury Turnpike, Milldale, CT 06467 Phone: 860-621-5554 Fax: 860-621-3833 |