| Geriatric Medicine Consultants Home Visit Practice, Llc | |
|
33 Birch Rd West Hartford CT 06119-1009 | |
| (860) 232-9741 | |
| Not Available |
| Full Name | Geriatric Medicine Consultants Home Visit Practice, Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 33 Birch Rd, West Hartford, Connecticut |
| Authorized Official Name and Position | Alison Grover (MEMBER) |
| Authorized Official Contact | 8602329741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Medicine Consultants Home Visit Practice, Llc 33 Birch Rd West Hartford CT 06119-1009 Ph: (860) 232-9741 | Geriatric Medicine Consultants Home Visit Practice, Llc 33 Birch Rd West Hartford CT 06119-1009 Ph: (860) 232-9741 |
| NPI Number | 1184896151 |
|---|---|
| Provider Enumeration Date | 03/30/2008 |
| Last Update Date | 10/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184896151 | NPI | - | NPPES |
| 001317181 | Medicaid | CT | |
| 1326174574 | Other | CT | INDIVIDUAL NPI |
| 1184896151 | Other | CT | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 031718 (Connecticut) | Primary |
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