NPI 1194204644 · live from the CMS NPI Registry
Amara Primary Care LLC
Family Medicine in Brookfield, CT. National Provider Identifier 1194204644, active.
NPI record
| NPI | 1194204644 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 31 Old Route 7, Brookfield, CT 06804 |
| Practice phone | 203-740-4455 |
| Mailing address | 490 Main St, Middlefield, CT 06455 |
| Enumerated | August 7, 2018 |
| Last updated | January 17, 2019 |
| Authorized official | Matthew Amara, Sole Owner Member |
| Other names | Matthew Amara, DO |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 000438 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.