ENFIELD AMBULATORY CARE CENTER LLC ENFIELD, CT

Contact Information

ENFIELD AMBULATORY CARE CENTER LLC

15 PALOMBA DRIVE
ENFIELD, CT 06082

Phone: 860-745-1684
Fax: 860-741-5228
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for ENFIELD AMBULATORY CARE CENTER LLC · (Female)

NPI #	`1922183268`
Status	Active
Credentials
Entity	Individual
Enumeration date	10/26/2006
Last updated	09/11/2025 - About 9 months ago
Sole proprietor ¹	Not specified
Identifiers	CT License # 0039 Other 991094 CONNECTICARE CT Other 68WLKN003CT01 ANTHEM BCBS
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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