| Christus Medical Group | |
|
587 Burnside Ave East Hartford CT 06108-3537 | |
| (860) 528-8200 | |
| Not Available |
| Full Name | Christus Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 587 Burnside Ave, East Hartford, Connecticut |
| Authorized Official Name and Position | Edwin Amobi Njoku (PRESIDENT) |
| Authorized Official Contact | 8605288200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Medical Group 587 Burnside Ave East Hartford CT 06108-3537 Ph: (860) 528-8200 | Christus Medical Group 587 Burnside Ave East Hartford CT 06108-3537 Ph: (860) 528-8200 |
| NPI Number | 1477745750 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477745750 | NPI | - | NPPES |
| 004243482 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Connecticut) | Primary |
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