Active NPIOrganization

360 Medical Group Connecticut P.c.

Family Medicine in Glastonbury, Connecticut

NPI Number1619892536
Practice location
2389 Main St Ste 100, Glastonbury, CT 06033-4617
Fax
—
Last updated
August 11, 2026

360 Medical Group Connecticut P.c. is a healthcare organization based in Glastonbury, CT. 360 Medical Group Connecticut P.c. practices in Glastonbury, CT. The NPI Number for 360 Medical Group Connecticut P.c. is 1619892536. The current practice location address for 360 Medical Group Connecticut P.c. is 2389 Main St Ste 100, Glastonbury, CT 06033-4617 and can be reached out via phone at 551-372-9260.

Provider Profile Details

NPI Number
1619892536
Provider Name
360 Medical Group Connecticut P.c.
Provider Entity Type
Organization
Address
2389 Main St Ste 100, Glastonbury, CT 06033-4617
Phone Number
551-372-9260
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
James Villar · Administrator · 551-372-9260
Provider Enumeration Date
August 11, 2026
Last Update Date
August 11, 2026
Certification Date
August 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2389 Main St Ste 100
Glastonbury, CT 06033-4617
Zip
06033-4617
Phone Number
551-372-9260
Glastonbury, CT 06033Get directions →

Provider Business Mailing Address Details

Address
2389 Main St Ste 100
Glastonbury, CT 06033-4617
City
Glastonbury
State
CT
Zip
06033-4617

License Information

Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 360 Medical Group Connecticut P.c.?

The NPI number of 360 Medical Group Connecticut P.c. is 1619892536. It was assigned on August 11, 2026 and is currently active in the NPPES registry.

What is the specialty of 360 Medical Group Connecticut P.c.?

360 Medical Group Connecticut P.c. is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does 360 Medical Group Connecticut P.c. practice?

The practice location is 2389 Main St Ste 100, Glastonbury, CT 06033-4617. The office can be reached at 551-372-9260 (phone).

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 1619892536 directly on the NPPES registry website.

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