East Granby Family Practice Llc in East Granby - Family
East Granby Family Practice Llc - NPI 1154308229
East Granby Family Practice Llc is a Family in East Granby, Connecticut. East Granby Family Practice Llc practices all healthcare services and medical treatments related to Family. The NPI Number for East Granby Family Practice Llc is 1154308229. The last update date is 2013-06-26.
East Granby Family Practice Llc's current location address is 13 Church Rd, East Granby, Connecticut. You can contact this provider via phone number 8606534526 and fax number 8606535209. The mailing address for East Granby Family Practice Llc is 13 Church Rd, East Granby, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Organization | East Granby Family Practice Llc |
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Address | 13 Church Rd, East Granby, Connecticut |
Phone Number | 8606534526 |
Fax Number | 8606535209 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PARTNER MD |
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Authorized Official Name | Dietrich R Steven |
Credentials | MD |
Telephone Number | 8606534526 |
NPI Number Detail
NPI Number | 1154308229 |
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Provider Enumeration Date | 2005-12-29 |
Last Updated Date | 2013-06-26 |
Provider Mailing Address Detail
Address | 13 Church Rd |
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City | East Granby |
State | Connecticut (CT) |
Post Code | 60260518 |
Phone Number | 8606534526 |
Fax Number | 8606535209 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identifier code issued to East Granby Family Practice Llc by the Centers for Medicare & Medicaid Services?
The East Granby Family Practice Llc has been assigned the NPI (National Provider Identifier) 1154308229. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where East Granby Family Practice Llc's facilities are situated?
The facilities of East Granby Family Practice Llc are physically located at the following address: 13 Church Rd, East Granby, CT, 60260518.
What is East Granby Family Practice Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for East Granby Family Practice Llc is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
When did the East Granby Family Practice Llc receive its 1154308229?
The East Granby Family Practice Llc was issued its 1154308229 on 2005-12-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to East Granby Family Practice Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to East Granby Family Practice Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-06-26.