Family Medicine On The Green

NPI 1780844167 - Family Medicine - 207Q00000X

NPI Details
NPI 1780844167
Enumeration Date 06/10/2008
Last Updated 06/10/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JONATHAN D JONATHAN
Position DOCTOR
Phone (860) 355-6963
Fax
Practice Location
50 BRIDGE ST
NEW MILFORD CT, 06776-3531, US
Phone (860) 355-6963
Fax
Business Location
50 BRIDGE ST
NEW MILFORD CT, 06776-3531, US
Phone (860) 355-6963
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Connecticut
License Number 042308
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According to our database, Family Medicine On The Green NPI is 1780844167, taxonomy code is 207Q00000X and license number is 042308, license state is located at Connecticut. Family Medicine On The Green physically located at 50 Bridge St, New Milford CT, 06776-3531. NPI Number 1033115704 has the healthcare provider type.

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1780844167 NPI number is provided on an as is basis without warranty of any kind. 1780844167 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medicine On The Green are for informational purposes only.