| Organization Name: | ASYLUM HILL FAMILY MEDICINE CENTER INC |
| NPI Number: | 1134257793 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT A CUSHMAN (DIRECTOR) |
| Mailing Address: | 775 Main St East Hartford |
| State: | CT US |
| Postal Code: | 061083123 |
| Phone Number: | 8605282138 |
| Fax Number: | 8605280514 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |