NPI
Collaborative Medicine LLC
NPI 1063137511
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2022-10-06
- Last updated
- 2025-05-22
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 166 Albany Tpke Ste 7
- City
- Canton CT
- Postal code
- 06019-2546
- Phone
- (860) 935-6680
Organization contact
- Name
- Jennifer Cannon
- Title
- Owner
- Phone
- (860) 935-6680
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Canton, CT. 158 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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