| Cloutier Family Practice Llc | |
|
Naval Branch Health Clinic 1 Wahoo Drive Groton CT 06349 | |
| (860) 694-1523 | |
| Not Available |
| Full Name | Cloutier Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | Naval Branch Health Clinic, Groton, Connecticut |
| Authorized Official Name and Position | Josee Diane Cloutier (MEMBER) |
| Authorized Official Contact | 8603892546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloutier Family Practice Llc 3 Highwood Rd Niantic CT 06357-1808 Ph: (860) 758-7888 | Cloutier Family Practice Llc Naval Branch Health Clinic 1 Wahoo Drive Groton CT 06349 Ph: (860) 694-1523 |
| NPI Number | 1538346846 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 9032195888 |
|---|---|
| Medicare Enrollment ID | O20040624000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538346846 | NPI | - | NPPES |
| 1790860419 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Josee D Cloutier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790860419 PECOS PAC ID: 2769479617 Enrollment ID: I20040430000587 |
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