Organization · Type 2 NPI
Family Medicine Center
Medical Physician Assistant · Manchester, CT
NPI number
1730566381
Active
Practice location
574 Middle Tpke E
Manchester, CT 06040-3730
Fax (860) 646-7020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 3317 (CT) |
Medical Physician Assistant: Definition to come...
5 other providers at this address
- Alexis Siegel, PA-CMedical Physician Assistant Manchester, CT NPI 1669030177
- Barbara Louise Phillips, MDFamily Medicine Physician Manchester, CT NPI 1073522991
- Evelyn Quist, MDFamily Medicine Physician Manchester, CT NPI 1730747841
- Martin Mark KeibelFamily Medicine Physician Manchester, CT NPI 1427067339
- Paige LandyPhysician Assistant Manchester, CT NPI 1215824107
About NPI 1730566381
Family Medicine Center's National Provider Identifier is 1730566381, issued on May 4, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manchester, CT. The record was last updated on May 4, 2015.