| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1619596228 | AASEN | DAVIS | MARK | 263 FARMINGTON AVE | FARMINGTON | CT | 060300001 | |
| 1306423355 | OLIVER | LINDSAY | KATE | 263 FARMINGTON AVE | FARMINGTON | CT | 060301921 | |
| 1265176176 | WIDLUS | MATTHEW | 263 FARMINGTON AVE | FARMINGTON | CT | 060301921 |