| Center For Comprehensive Care Llc | |
|
31 Staples St Danbury CT 06810-5323 | |
| (203) 225-0504 | |
| (203) 792-1675 |
| Full Name | Center For Comprehensive Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 31 Staples St, Danbury, Connecticut |
| Authorized Official Name and Position | Daniel E Wollman (CEO) |
| Authorized Official Contact | 2032250504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Comprehensive Care Llc 31 Staples St Danbury CT 06810-5323 Ph: (203) 225-0504 | Center For Comprehensive Care Llc 31 Staples St Danbury CT 06810-5323 Ph: (203) 225-0504 |
| NPI Number | 1982753083 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 02/21/2013 |
| Medicare PECOS PAC ID | 3577534866 |
|---|---|
| Medicare Enrollment ID | O20040802000784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982753083 | NPI | - | NPPES |
| 004253770 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 038204 (Connecticut) | Primary |
| Provider Name | Daniel E Wollman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659344596 PECOS PAC ID: 0749251031 Enrollment ID: I20050414000009 |
| Provider Name | Debra A Pollack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588645212 PECOS PAC ID: 5092749739 Enrollment ID: I20050922000583 |
| Provider Name | Sharon J Freitas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619028024 PECOS PAC ID: 1456480342 Enrollment ID: I20100602000998 |
| Provider Name | Francis K Amoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326223728 PECOS PAC ID: 6608059449 Enrollment ID: I20110331000642 |
| Provider Name | Laura W Giovannoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598007536 PECOS PAC ID: 5193962942 Enrollment ID: I20130515000016 |
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