| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1164881215 | FAKESS | JOSHUA | ETHAN | 263 FARMINGTON AVE | FARMINGTON | CT | 060301235 | |
| 1285085761 | KUMAR | MANISH | 263 FARMINGTON AVE | FARMINGTON | CT | 060301235 | ||
| 1578806840 | OLSEN | JACLYN | SUSAN | 263 FARMINGTON AVE | FARMINGTON | CT | 060301921 |