COLCHESTER FAMILY MEDICINE LLC
Ambulatory Health at Broadway St, Colchester, CT

License number
Connecticut 041093
Category
Ambulatory Health
Type
Primary Care
Owner
Name: OLAWALE AYENI MD
Title: PHYSICIAN/OWNER
Phone: (860) 537-3204
Address
Address
123 Broadway St, Colchester, CT 06415
National Provider ID: 1952596579
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COLCHESTER FAMILY MEDICINE LLC at bizstanding.com

COLCHESTER FAMILY MEDICINE, LLC

123 Broadway St, Colchester, CT 06415

Status:
Inactive
Registration:
Jan 31, 2007
State ID:
0887548
Business type:
Domestic Limited Liability Company
Member:
Md Olawale Ayeni (Member), 123 Broadway St, Colchester, CT 06415 (Mailing)
46 Laurel Ln, Marlborough, CT 06447 (Physical)
Agent:
Olawale O. Ayeni,46 Laurel Ln, Marlborough, CT 06447 (Mailing)

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