Healthcare Provider Details

I. General information

NPI: 1902496763
Provider Name (Legal Business Name): AFC PHYSICIANS OF CONNECTICUT, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 MAIN AVE
NORWALK CT
06851-1058
US

IV. Provider business mailing address

1030 BOULEVARD
WEST HARTFORD CT
06119-1801
US

V. Phone/Fax

Practice location:
  • Phone: 203-845-9100
  • Fax:
Mailing address:
  • Phone: 860-986-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JEREMY MORGAN
Title or Position: CEO
Credential:
Phone: 205-271-5068