| Connecticut Lifestyle Medicine | |
| 
					955 S Main St Middletown CT 06457-5153  | |
| (516) 993-2847 | |
| Not Available | 
| Full Name | Connecticut Lifestyle Medicine | 
|---|---|
| Speciality | Family Medicine | 
| Location | 955 S Main St, Middletown, Connecticut | 
| Authorized Official Name and Position | Catherine Orourke (OWNER, NURSE) | 
| Authorized Official Contact | 8607886573 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Connecticut Lifestyle Medicine 955 S Main St # B201 Middletown CT 06457-5153 Ph: (860) 788-6573  | Connecticut Lifestyle Medicine 955 S Main St Middletown CT 06457-5153 Ph: (516) 993-2847  | 
| NPI Number | 1619527959 | 
|---|---|
| Provider Enumeration Date | 09/18/2019 | 
| Last Update Date | 08/21/2024 | 
| Medicare PECOS PAC ID | 0941629448 | 
|---|---|
| Medicare Enrollment ID | O20201002000561 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619527959 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Dipak Patel | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1952568834 PECOS PAC ID: 7810041597 Enrollment ID: I20090814000091  | 
Ronald B. Robbins, M.d.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 Washington St, Middletown, CT 06457 Phone: 860-346-4484 Fax: 860-347-1343  | |
Revolutionary Recovery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 799 Long Hill Rd Apt D, Middletown, CT 06457 Phone: 860-558-4226  | |
Matthew Raider Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 645 Saybrook Rd, Middletown, CT 06457 Phone: 860-767-4024  | |
Community Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 635 Main St, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-638-6601  | |
Robbins Medical, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Church St, Suite 600, Middletown, CT 06457 Phone: 860-347-5333 Fax: 860-346-3517  | |
Wesleyan University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 High St, Middletown, CT 06459 Phone: 860-685-3068 Fax: 972-367-3451  | |
Saybrook Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 760 Saybrook Rd, Middletown, CT 06457 Phone: 860-347-3304 Fax: 860-346-8245  |