NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013061100 |   |   |   | WINDHAM MEDICAL GROUP | 37 IVAN HILL ST | WILLIMANTIC | CT | 062262001 |
1124088547 | LEACH | STEPHEN | J |   | 37 IVAN HILL ST | WILLIMANTIC | CT | 062262001 |
1760676100 | PETRO | MARJORIE | GRACE |   | 37 IVAN HILL ST | WILLIMANTIC | CT | 062262001 |
1457544728 | RAGO | SHAUNA | ALISON |   | 30 JORDAN LN | WETHERSFIELD | CT | 061091278 |