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Dr. Roberto Medina, Md Llc
Primary Care Clinic/Center in Wethersfield, Connecticut
NPI 1083798821

Dr. Roberto Medina, Md Llc is a Primary Care Clinic/Center based in Wethersfield, CT and is specialized in Primary Care. Dr. Roberto Medina, Md Llc practices in Wethersfield, CT. The NPI Number for Dr. Roberto Medina, Md Llc is 1083798821 and holds a License No. (Connecticut).

The current practice location address for Dr. Roberto Medina, Md Llc is 415 Silas Deane Hwy, Wethersfield, CT and can be reached out via phone at 860-257-4470 and via fax at 860-257-4479.

Location: 415 Silas Deane Hwy, Wethersfield, CT, 06109-2124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083798821
Provider Name
Dr. Roberto Medina, Md Llc
Credential
Provider Entity Type
Organization
Address
415 Silas Deane Hwy, Wethersfield, CT, 06109-2124
Phone Number
860-257-4470
Fax Number
860-257-4479
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
415 Silas Deane Hwy
City
Wethersfield
State
Connecticut
Zip
06109-2124
Phone Number
860-257-4470
Fax Number
860-257-4479
person
Provider Business Mailing Address Details
Address
415 Silas Deane Hwy
City
Wethersfield
State
Connecticut
Zip
06109-2124
Phone Number
860-257-4470
Fax Number
860-257-4479
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
034507 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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