| Branhaven Medical Group Llc | |
|
251 W Main St Lakeview Center Branford CT 06405-4047 | |
| (203) 481-0077 | |
| (203) 481-0066 |
| Full Name | Branhaven Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 251 W Main St, Branford, Connecticut |
| Authorized Official Name and Position | Prathibha Kumar (PRESIDENT) |
| Authorized Official Contact | 2034810077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branhaven Medical Group Llc 251 W Main St Lakeview Center Branford CT 06405-4047 Ph: (203) 481-0077 | Branhaven Medical Group Llc 251 W Main St Lakeview Center Branford CT 06405-4047 Ph: (203) 481-0077 |
| NPI Number | 1558303107 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558303107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 032669 (Connecticut) | Primary |
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