| C River Neurology Of Connecticut Llc | |
|
34 Jerome Ave Ste 204 Bloomfield CT 06002-2463 | |
| (860) 966-9680 | |
| (860) 216-6641 |
| Full Name | C River Neurology Of Connecticut Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 34 Jerome Ave Ste 204, Bloomfield, Connecticut |
| Authorized Official Name and Position | Gregory Warwick Taylor (OWNER) |
| Authorized Official Contact | 8608457543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C River Neurology Of Connecticut Llc 34 Jerome Ave Ste 204 Bloomfield CT 06002-2463 Ph: (860) 966-9680 | C River Neurology Of Connecticut Llc 34 Jerome Ave Ste 204 Bloomfield CT 06002-2463 Ph: (860) 966-9680 |
| NPI Number | 1083183453 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 01/08/2019 |
| Medicare PECOS PAC ID | 1951643931 |
|---|---|
| Medicare Enrollment ID | O20190423000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083183453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Gregory Warwick Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144221607 PECOS PAC ID: 1254398647 Enrollment ID: I20160127001527 |
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