| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1174605810 | BALAVENDER | ALAN | 27 DEPOT ST | WATERTOWN | CT | 067952601 | ||
| 1821123332 | FLODQUIST | KATHRYN | 27 DEPOT ST | WATERTOWN | CT | 067952601 | ||
| 1376753095 | PROPFE | GERDT | 495 GOLD STAR HWY | GROTON | CT | 063406228 |