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

Old Oak Primary Care, PC

Organization Internal Medicine Physician · NPI 1033697859

Old Oak Primary Care, PC is an Internal Medicine Physician in Southbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2018.

Licensed in
CT
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 Main St S Unit G
Southbury, CT 06488-2263
Phone: (203) 533-9436
Fax: (989) 419-3050
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 056411 (CT)

Record details

NPI number1033697859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christofer Fort — President · (203) 533-9436
Other names Old Oak Primary Care; Old Oak Primary Care
NPI enumeratedAugust 2, 2018
Last updated in NPPESDecember 21, 2018
Mailing address250 Main St S Unit G, Southbury, CT 06488-2263

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