Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Town and Country Pediatrics and Family Medicine, PC

Organization Family Medicine Physician · NPI 1942414081

Town and Country Pediatrics and Family Medicine, PC provides Family Medicine Physician services in Watertown, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007
Specialties on file
3
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

380 Main St
Watertown, CT 06795 Not confirmed with CMS for 13 years — call before visiting
Phone: (860) 274-8891
Fax: (860) 274-8895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 035903 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 041948 (CT)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 001457 (CT)

Record details

NPI number1942414081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Lustig — President · (860) 274-8891
NPI enumeratedMay 9, 2007
Last updated in NPPESDecember 12, 2012
Mailing address380 Main Street, Watertown, CT 06795

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