| Chaim | |
|
1057 Poquonnock Road Suite 3 Groton CT 06340-6630 | |
| (860) 445-2130 | |
| (860) 446-0883 |
| Full Name | Chaim |
|---|---|
| Speciality | Internal Medicine |
| Location | 1057 Poquonnock Road, Groton, Connecticut |
| Authorized Official Name and Position | Rebecca Ruth Murray (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8604452130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaim 1057 Poquonnock Road Suite 3 Groton CT 06340-6630 Ph: (860) 445-2130 | Chaim 1057 Poquonnock Road Suite 3 Groton CT 06340-6630 Ph: (860) 445-2130 |
| NPI Number | 1326371253 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326371253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 031252 (Connecticut) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APRN000126 (Connecticut) | Secondary |
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