Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Granby Family Practice LLC

Organization Family Medicine Physician · NPI 1154308229

East Granby Family Practice LLC is a Family Medicine Physician in East Granby, Connecticut. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13 Church Rd
East Granby, CT 06026-0518
Phone: (860) 653-4526
Fax: (860) 653-5209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1154308229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Dietrich — Partner Md · (860) 653-4526
NPI enumeratedDecember 29, 2005
Last updated in NPPESJune 26, 2013
Mailing address13 Church Rd, Po Box 518, East Granby, CT 06026-0518

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