Colchester Family Medicine LLC
NPI #1952596579 in Colchester, Connecticut
Provider Information
- NPI Number
- 1952596579
- Entity Type
- Organization
- Organization Name
- Colchester Family Medicine LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 6, 2007
- Last Updated
- Aug 19, 2008
Practice Location
- Address
- 123 BROADWAY ST
- City
- Colchester
- State
- Connecticut
- ZIP Code
- 06415-1022
- Phone
- (860) 537-3204
Authorized Official
- Name
- OLAWALE AYENI, MD
- Title
- PHYSICIAN/OWNER
- Phone
- (860) 537-3204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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