| Altorelli Health, Llc | |
|
125 New Milford Tpke New Preston Marble Dale CT 06777-1703 | |
| (860) 868-7318 | |
| Not Available |
| Full Name | Altorelli Health, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 New Milford Tpke, New Preston Marble Dale, Connecticut |
| Authorized Official Name and Position | Brandon Sprague (OWNER) |
| Authorized Official Contact | 5165676306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altorelli Health, Llc 125 New Milford Tpke New Preston Marble Dale CT 06777-1703 Ph: (860) 868-7318 | Altorelli Health, Llc 125 New Milford Tpke New Preston Marble Dale CT 06777-1703 Ph: (860) 868-7318 |
| NPI Number | 1922536788 |
|---|---|
| Provider Enumeration Date | 05/24/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8921355157 |
|---|---|
| Medicare Enrollment ID | O20180719001441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922536788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Connecticut) | Primary |
| Provider Name | Abra Mabasa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477715035 PECOS PAC ID: 6507932308 Enrollment ID: I20080902000297 |
| Provider Name | Nicole Lauren Altorelli |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962814673 PECOS PAC ID: 5193044006 Enrollment ID: I20180719001531 |
| Provider Name | Jonathan B Lis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528558939 PECOS PAC ID: 0244585859 Enrollment ID: I20210506000799 |