Plainfield Walk in Medical Center LLC
Organization Active NPI Family Medicine Physician · Plainfield, CT
NPI 1710191135 · NPPES record last updated Nov 20, 2012
Key facts
- NPI
- 1710191135
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PLAINFIELD WALK IN MEDICAL CENTER LLC
- Practice address
- 558 Norwich Rd
Plainfield, CT 06374-1725 - Phone
- (860) 564-4054
- Fax
- (860) 564-0354
- NPI assigned
- May 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Leah Briones, M.D.
- Title
- Owner
- Phone
- (860) 564-4054
National Provider Directory
Locations
558 Norwich Rd
Plainfield, CT 06374
Phone (860) 564-4054
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
558 Norwich Rd
Plainfield, CT 06374-1725
Mailing address
558 Norwich Rd
Plainfield, CT 06374-1725
Phone (860) 564-4054
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001379199 | Medicaid | CT | |
| 010037919CT01 | Other | CT | BLUE CROSS BLUE SHIELD |
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All providers in Plainfield, CT · Family Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.