Mansfield Family Practice LLC
NPI #1265546956 in Storrs, Connecticut
Provider Information
- NPI Number
- 1265546956
- Entity Type
- Organization
- Organization Name
- Mansfield Family Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 34 PROFESSIONAL PARK ROAD
- City
- Storrs
- State
- Connecticut
- ZIP Code
- 06268
- Phone
- (860) 487-0002
Authorized Official
- Name
- KELLY WYSE
- Title
- MEDICAL RECORDS
- Phone
- (860) 487-0002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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