East Granby Family Practice LLC
Family Medicine in East Granby, Connecticut
1154308229- Practice location
- 13 Church RD, East Granby, CT 06026-0518
- Phone
- 860-653-4526
- Fax
- 860-653-5209
- Last updated
- June 26, 2013
East Granby Family Practice LLC is a healthcare organization based in East Granby, CT. East Granby Family Practice LLC practices in East Granby, CT. The NPI Number for East Granby Family Practice LLC is 1154308229. The current practice location address for East Granby Family Practice LLC is 13 Church RD, East Granby, CT 06026-0518 and can be reached out via phone at 860-653-4526 and via fax at 860-653-5209.
Provider Profile Details
- NPI Number
- 1154308229
- Provider Name
- East Granby Family Practice LLC
- Provider Entity Type
- Organization
- Address
- 13 Church RD, East Granby, CT 06026-0518
- Phone Number
- 860-653-4526
- Fax Number
- 860-653-5209
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Steven R Dietrich, MD · Partner MD · 860-653-4526
- Provider Enumeration Date
- December 29, 2005
- Last Update Date
- June 26, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 13 Church RD
East Granby, CT 06026-0518 - City
- East Granby
- State
- Connecticut
- Zip
- 06026-0518
- Phone Number
- 860-653-4526
- Fax Number
- 860-653-5209
Provider Business Mailing Address Details
- Address
- 13 Church RD
Po Box 518
East Granby, CT 06026-0518 - City
- East Granby
- State
- CT
- Zip
- 06026-0518
- Phone Number
- 860-653-4526
- Fax Number
- 860-653-5209
License Information
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near East Granby, CT
View all Family Medicine providers in East Granby →- Alina Kluk, MDFamily Medicine · NPI 1063032977
- Dr. Daniel M Lerner, DOFamily Medicine · NPI 1700222817
- Khuram R Ghumman, MD, MPH, CPE, FAAFPFamily Medicine · NPI 1447384326
- Kimberly D Davis, DOFamily Medicine · NPI 1639791379
- Mr. David R Howlett, MDFamily Medicine · NPI 1760469829
- Mr. Edward M Ewald, MDFamily Medicine · NPI 1497732564
Frequently Asked Questions
What is the NPI number of East Granby Family Practice LLC?
The NPI number of East Granby Family Practice LLC is 1154308229. It was assigned on December 29, 2005 and is currently active in the NPPES registry.
What is the specialty of East Granby Family Practice LLC?
East Granby Family Practice LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does East Granby Family Practice LLC practice?
The practice location is 13 Church RD, East Granby, CT 06026-0518. The office can be reached at 860-653-4526 (phone) or 860-653-5209 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154308229 directly on the NPPES registry website.