Organization · NPI-2

Colchester Internal Medicine, LLC

Internal Medicine · Colchester, CT

NPI number1083716203
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1083716203
Entity type
Organization (NPI-2)
Legal business name
Colchester Internal Medicine, LLC
Organization subpart
No
Enumeration date
Sep 1, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

199 Old Hartford Rd
Unit #6
Colchester, CT 06415-2739

Phone 860-537-2262 · Fax 860-537-2273

Mailing address

199 Old Hartford Rd
Unit #6
Colchester, CT 06415-2739

Phone 860-537-2262 · Fax 860-537-2273

Authorized official

Catherine Elisabeth Hylwa
LLC Managing Member
8605372262

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