| Organization Name: | PROGRESSIVE MEDICINE, LLC |
| NPI Number: | 1154691343 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRADFORD JAMES HARDING (OWNER) |
| Mailing Address: | 174 West St Suite 200, Box 1 Litchfield |
| State: | CT US |
| Postal Code: | 067593434 |
| Phone Number: | 8602697011 |
| Fax Number: | 8602697004 |
| NPI Enumeration Date: | 01/05/2012 |
| NPI Last Update Date: | 01/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 032629 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |