| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174605398 | CERVERA | PATRICIA | 365 MONTAUK AVE | NEW LONDON | CT | 063204700 | ||
| 1750357596 | GIFFAULT | GEORGE | 365 MONTAUK AVE | NEW LONDON | CT | 063204700 | ||
| 1154331031 | MCCORMICK | RACHEL | 365 MONTAUK AVE | NEW LONDON | CT | 063204700 |