| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1124008552 | ANTHONY | MICHAEL | PAUL | 320 POMFRET ST | PUTNAM | CT | 062601836 | |
| 1093765232 | LANE | KIMBERLY | J | 320 POMFRET ST | PUTNAM | CT | 062601836 | |
| 1952942310 | ROCKWELL | JEREMY | TYLER | 320 POMFRET ST | PUTNAM | CT | 062601836 | |
| 1346309507 | ROSENFIELD | WAYNE | DAVID | 320 POMFRET ST | PUTNAM | CT | 062601836 |