| Western Connecticut Primary Care P.c. | |
|
105 Newtown Rd Suite 1a Danbury CT 06810-4114 | |
| (203) 790-4511 | |
| (203) 790-4512 |
| Full Name | Western Connecticut Primary Care P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Newtown Rd, Danbury, Connecticut |
| Authorized Official Name and Position | Allen F Davis (PRESIDENT) |
| Authorized Official Contact | 2037904511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Connecticut Primary Care P.c. 105 Newtown Rd Suite 1a Danbury CT 06810-4114 Ph: (203) 790-4511 | Western Connecticut Primary Care P.c. 105 Newtown Rd Suite 1a Danbury CT 06810-4114 Ph: (203) 790-4511 |
| NPI Number | 1194917427 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194917427 | NPI | - | NPPES |
| C03757 | Other | CT | MEDICARE PTAN |
| DG4876 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 041832 (Connecticut) | Primary |
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