NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1407851116 | GOUPIL | MICHAEL | T |   | 263 FARMINGTON AVE | FARMINGTON | CT | 060303915 |
1962559245 | LANDESBERG | REGINA |   |   | 263 FARMINGTON AVE | FARMINGTON | CT | 060302212 |
1427219708 | MARK | HOWARD | IRWIN |   | 101 W RIDGE DR | WEST HARTFORD | CT | 061172039 |
1528065992 | SHAFER | DAVID |   |   | 263 FARMINGTON AVE | FARMINGTON | CT | 060302212 |