Family Practice of Greater New Haven, LLC

NPI #1922114495 in Wallingford, Connecticut

Provider Information

NPI Number: 1922114495
Entity Type: Organization
Organization Name: Family Practice of Greater New Haven, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 21, 2006
Last Updated: Dec 20, 2007

Practice Location

Address: 850 N MAIN STREET EXT
Address 2: BUILDING 2 SUITE 1B
City: Wallingford
State: Connecticut
ZIP Code: 06492-2400
Phone: (203) 269-4200

Authorized Official

Name: DR. ANATOLY BRAYLOVSKY, M.D.
Title: PHYSICIAN/ OWNER
Phone: (203) 269-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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