Windham Primary Care LLC
Pediatrics, Adolescent Medicine in North Windham, Connecticut
1780874776- Practice location
- 387 Tuckie RD Ste C, North Windham, CT 06256-1355
- Phone
- 860-456-1279
- Fax
- 860-456-1298
- Last updated
- July 26, 2007
Windham Primary Care LLC is a healthcare organization based in North Windham, CT. Windham Primary Care LLC practices in North Windham, CT. The NPI Number for Windham Primary Care LLC is 1780874776 and holds a License No. 037518 (CT). The current practice location address for Windham Primary Care LLC is 387 Tuckie RD Ste C, North Windham, CT 06256-1355 and can be reached out via phone at 860-456-1279 and via fax at 860-456-1298.
Provider Profile Details
- NPI Number
- 1780874776
- Provider Name
- Windham Primary Care LLC
- Provider Entity Type
- Organization
- Address
- 387 Tuckie RD Ste C, North Windham, CT 06256-1355
- Phone Number
- 860-456-1279
- Fax Number
- 860-456-1298
- Primary Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Obinna I Maduka, MD · Owner · 860-456-1279
- Provider Enumeration Date
- July 26, 2007
- Last Update Date
- July 26, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 387 Tuckie RD Ste C
North Windham, CT 06256-1355 - City
- North Windham
- State
- Connecticut
- Zip
- 06256-1355
- Phone Number
- 860-456-1279
- Fax Number
- 860-456-1298
Provider Business Mailing Address Details
- Address
- 387 Tuckie RD Ste C
North Windham, CT 06256-1355 - City
- North Windham
- State
- CT
- Zip
- 06256-1355
- Phone Number
- 860-456-1279
- Fax Number
- 860-456-1298
License Information
- License Number
- 037518
- License State
- CT
- Taxonomy
- Pediatrics, Adolescent Medicine · 2080A0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Windham Primary Care LLC?
The NPI number of Windham Primary Care LLC is 1780874776. It was assigned on July 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Windham Primary Care LLC?
Windham Primary Care LLC is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in CT under license number 037518.
Where does Windham Primary Care LLC practice?
The practice location is 387 Tuckie RD Ste C, North Windham, CT 06256-1355. The office can be reached at 860-456-1279 (phone) or 860-456-1298 (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 1780874776 directly on the NPPES registry website.