| Glastonbury Osteopathic, Llc | |
|
59 Sycamore St Suite 301 Glastonbury CT 06033-4535 | |
| (860) 659-5999 | |
| (860) 633-9423 |
| Full Name | Glastonbury Osteopathic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 59 Sycamore St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Ernest Luke Squatrito (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8606595999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glastonbury Osteopathic, Llc 59 Sycamore St Suite 301 Glastonbury CT 06033-4535 Ph: (860) 659-5999 | Glastonbury Osteopathic, Llc 59 Sycamore St Suite 301 Glastonbury CT 06033-4535 Ph: (860) 659-5999 |
| NPI Number | 1679667604 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679667604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 000536 (Connecticut) | Primary |
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