| Campbell Medical Services, Llc | |
|
755 Campbell Ave Suite 3 West Haven CT 06516-3715 | |
| (203) 937-1100 | |
| (203) 937-1102 |
| Full Name | Campbell Medical Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 755 Campbell Ave, West Haven, Connecticut |
| Authorized Official Name and Position | Channa D. Perera (OWNER) |
| Authorized Official Contact | 2039371100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Medical Services, Llc 755 Campbell Ave Suite 3 West Haven CT 06516-3715 Ph: (203) 937-1100 | Campbell Medical Services, Llc 755 Campbell Ave Suite 3 West Haven CT 06516-3715 Ph: (203) 937-1100 |
| NPI Number | 1023263589 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 11/18/2014 |
| Medicare PECOS PAC ID | 2163586454 |
|---|---|
| Medicare Enrollment ID | O20090202000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023263589 | NPI | - | NPPES |
| Provider Name | Channa D Perera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467458216 PECOS PAC ID: 8123182417 Enrollment ID: I20090202000105 |
| Provider Name | William E Rosner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114961083 PECOS PAC ID: 6204893910 Enrollment ID: I20100816000214 |
| Provider Name | Ngozi N Ikekpeazu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982030813 PECOS PAC ID: 9638307499 Enrollment ID: I20140124001230 |
| Provider Name | Cindy E Barboza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528499951 PECOS PAC ID: 8820227556 Enrollment ID: I20140129001092 |
| Provider Name | Bridget B Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548501893 PECOS PAC ID: 0749505105 Enrollment ID: I20150206001861 |
| Provider Name | Samuel Antwi-boasiako |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700152063 PECOS PAC ID: 7810208253 Enrollment ID: I20150625001757 |
| Provider Name | Heather R Previs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477000370 PECOS PAC ID: 3971885815 Enrollment ID: I20170130000155 |
| Provider Name | Gina Choiniere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538718861 PECOS PAC ID: 8123359577 Enrollment ID: I20191016000690 |
| Provider Name | David Piselli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982333845 PECOS PAC ID: 0446632475 Enrollment ID: I20220808000292 |
| Provider Name | Nickesha M Brown-fokuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336900331 PECOS PAC ID: 5991142515 Enrollment ID: I20240319001329 |
| Provider Name | Sheryl E Anglin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285001669 PECOS PAC ID: 5092155879 Enrollment ID: I20240426000644 |
Internal Medicine Of West Haven Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 764 Campbell Ave, Suite E, West Haven, CT 06516 Phone: 203-931-0034 Fax: 203-931-8225 | |
Family Physicians Of West Haven,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 Campbell Ave, West Haven, CT 06516 Phone: 203-931-2828 Fax: 203-931-2830 | |
Qaiyum Mujtaba, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Savin Ave, West Haven, CT 06516 Phone: 203-931-7710 | |
Apt Foundation Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 Front Ave, West Haven, CT 06516 Phone: 203-781-4600 Fax: 203-781-4624 | |
General Medical Practice Of West Haven Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Main St, West Haven, CT 06516 Phone: 203-933-4001 Fax: 203-933-3759 | |
Va-ct Healthcare System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Campbell Ave, Buld# 36, Mail Code 116 A4, West Haven, CT 06516 Phone: 203-932-5711 Fax: 203-937-3478 |