| Connecticut Addiction Medicine | |
|
546 Cromwell Ave Suite 101 Rocky Hill CT 06067-1800 | |
| (860) 757-3874 | |
| (860) 757-3875 |
| Full Name | Connecticut Addiction Medicine |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 546 Cromwell Ave, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Tiffany Ingold (OFFICE MANAGER) |
| Authorized Official Contact | 8609691101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Addiction Medicine 546 Cromwell Ave Suite 101 Rocky Hill CT 06067-1800 Ph: (860) 757-3874 | Connecticut Addiction Medicine 546 Cromwell Ave Suite 101 Rocky Hill CT 06067-1800 Ph: (860) 757-3874 |
| NPI Number | 1710312368 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 04/19/2017 |
| Medicare PECOS PAC ID | 3274758560 |
|---|---|
| Medicare Enrollment ID | O20140630000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710312368 | NPI | - | NPPES |
| Provider Name | Tim G Bombard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669470993 PECOS PAC ID: 9436042801 Enrollment ID: I20040209000104 |
| Provider Name | Eleanor Marie Fritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750466744 PECOS PAC ID: 2769414549 Enrollment ID: I20050831000854 |
| Provider Name | Ilona W Figura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578660262 PECOS PAC ID: 7810996295 Enrollment ID: I20061212000616 |
| Provider Name | Usman C Ramzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356387823 PECOS PAC ID: 7810955663 Enrollment ID: I20070423000040 |
| Provider Name | Mahboob A Aslam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801094479 PECOS PAC ID: 5991850646 Enrollment ID: I20090901000257 |
| Provider Name | Manju Aggarwal |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1952480840 PECOS PAC ID: 5496880098 Enrollment ID: I20100322000557 |
| Provider Name | Jay Barry Benson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720017056 PECOS PAC ID: 1153513775 Enrollment ID: I20101014000052 |
| Provider Name | Jose Azocar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578549499 PECOS PAC ID: 6608765482 Enrollment ID: I20110425000790 |
| Provider Name | Johnny C Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952455370 PECOS PAC ID: 8426020405 Enrollment ID: I20110823000030 |
| Provider Name | Edith Hergan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326016726 PECOS PAC ID: 6305811563 Enrollment ID: I20120810000019 |
| Provider Name | Navin K Gazi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508183146 PECOS PAC ID: 5092934026 Enrollment ID: I20140924000084 |
| Provider Name | Melanie Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306063896 PECOS PAC ID: 6800196486 Enrollment ID: I20161215001306 |
| Provider Name | Ellen Louise Sollazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821464017 PECOS PAC ID: 1052619574 Enrollment ID: I20170328001847 |
| Provider Name | Mary Patricia Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407254733 PECOS PAC ID: 0345595468 Enrollment ID: I20180613002638 |
| Provider Name | Jeff Epps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982113379 PECOS PAC ID: 7315312196 Enrollment ID: I20230410000357 |
| Provider Name | Thomas Defanti |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1043239783 PECOS PAC ID: 2668416512 Enrollment ID: I20230504002531 |
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