NPI 1376095646 · live from the CMS NPI Registry
Bethel Primary Care Center LLC
Family Medicine in Bethel, CT. National Provider Identifier 1376095646, active.
NPI record
| NPI | 1376095646 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 6 Stony Hill Rd, Bethel, CT 06801 |
| Practice phone | 203-456-8000 |
| Enumerated | November 2, 2016 |
| Last updated | November 2, 2016 |
| Authorized official | Matthew Amara, Owner |
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.