NPI 1770734766

Tritown Family Practice LLC

Organisation Preferred Provider Organization Essex, CT

Practice location

Address: 9 Wildwood Medical Ctr, Essex, CT 06426-1155
Phone: (860) 767-9940
Fax: (860) 767-9775

Authorised official

Name: Louise M Maloney
Title: Dr. Louise M. Maloney
Phone: (860) 767-9940

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 028466 (CT)

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Registry record

NPI: 1770734766
Entity type: Organization
NPI issued: 8 Oct 2008
Record last updated: 8 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.