Organization · Type 2 NPI

Mashantucket Pequot Tribal Council

Family Medicine Physician · Ledyard, CT

NPI number 1508140922 Active

Practice location

75 Route 2
Ledyard, CT 06339-1128

Fax (860) 312-8001

Mailing address

PO Box 3260, 75 Rt 2
Mashantucket, CT 06339-3260

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1508140922

Mashantucket Pequot Tribal Council's National Provider Identifier is 1508140922, issued on Oct 4, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ledyard, CT. The record was last updated on Sep 9, 2014.