| Michael J Pierce Md Llc | |
|
701 Hebron Ave Suite 1 Glastonbury CT 06033-2489 | |
| (860) 657-8140 | |
| (860) 430-9403 |
| Full Name | Michael J Pierce Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 701 Hebron Ave, Glastonbury, Connecticut |
| Authorized Official Name and Position | Michael J Pierce (OWNER) |
| Authorized Official Contact | 8606578140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Pierce Md Llc 701 Hebron Ave Suite 1 Glastonbury CT 06033-2489 Ph: (860) 657-8140 | Michael J Pierce Md Llc 701 Hebron Ave Suite 1 Glastonbury CT 06033-2489 Ph: (860) 657-8140 |
| NPI Number | 1538287693 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 03/07/2011 |
| Medicare PECOS PAC ID | 5496842932 |
|---|---|
| Medicare Enrollment ID | O20071031000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538287693 | NPI | - | NPPES |
| 010033509CT04 | Other | CT | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 033509 (Connecticut) | Primary |
| Provider Name | Michael Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760453138 PECOS PAC ID: 2062509508 Enrollment ID: I20071031000471 |
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