Ledgebrook Family Practice, LLC
NPI #1164443990 in Mansfield Center, Connecticut
Provider Information
- NPI Number
- 1164443990
- Entity Type
- Organization
- Organization Name
- Ledgebrook Family Practice, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Dec 18, 2008
Practice Location
- Address
- 6 LEDGEBROOK DR
- Address 2
- SUITE A
- City
- Mansfield Center
- State
- Connecticut
- ZIP Code
- 06250-1644
- Phone
- (860) 456-1485
Authorized Official
- Name
- DAVID A JAWORSKI, MD
- Title
- DIRECTOR
- Phone
- (860) 456-1485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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