Town and Country Pediatrics and Family Medicine, P.c.

NPI #1942414081 in Watertown, Connecticut

Provider Information

NPI Number: 1942414081
Entity Type: Organization
Organization Name: Town and Country Pediatrics and Family Medicine, P.c.
Primary Specialty: Pediatrics
Enumeration Date: May 9, 2007
Last Updated: Dec 12, 2012

Practice Location

Address: 380 MAIN STREET
City: Watertown
State: Connecticut
ZIP Code: 06795
Phone: (860) 274-8891

Authorized Official

Name: DR. JACQUELINE O LUSTIG, D.O.
Title: PRESIDENT
Phone: (860) 274-8891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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