| Connecticut Gastroenterology Consultants, P.c. | |
|
40 Temple St Suite 4a New Haven CT 06510-2715 | |
| (203) 777-0304 | |
| (203) 401-4687 |
| Full Name | Connecticut Gastroenterology Consultants, P.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 40 Temple St, New Haven, Connecticut |
| Authorized Official Name and Position | Michael C Bennick (PRESIDENT) |
| Authorized Official Contact | 2037770304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Gastroenterology Consultants, P.c. 40 Temple St Suite 4a New Haven CT 06510-2715 Ph: (203) 777-0304 | Connecticut Gastroenterology Consultants, P.c. 40 Temple St Suite 4a New Haven CT 06510-2715 Ph: (203) 777-0304 |
| NPI Number | 1669674743 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 02/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669674743 | NPI | - | NPPES |
| 004001541 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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