| Connecticut Osteopathic Center | |
|
141 Dowd Ave Canton CT 06019-2401 | |
| (570) 498-4879 | |
| Not Available |
| Full Name | Connecticut Osteopathic Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 141 Dowd Ave, Canton, Connecticut |
| Authorized Official Name and Position | Lisa Gronski (OWNER) |
| Authorized Official Contact | 5704984879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Osteopathic Center 304 W. Main St Suite 2, #135 Avon CT 06001 Ph: () - | Connecticut Osteopathic Center 141 Dowd Ave Canton CT 06019-2401 Ph: (570) 498-4879 |
| NPI Number | 1649929126 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/22/2022 |
| Medicare PECOS PAC ID | 0143602912 |
|---|---|
| Medicare Enrollment ID | O20220727001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649929126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa M Gronski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265758577 PECOS PAC ID: 4183939655 Enrollment ID: I20150812007907 |
Valley Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Dowd Ave, Canton, CT 06019 Phone: 860-693-6951 Fax: 860-693-8459 | |
Family Medicine Of Canton, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Albany Tpke, Canton, CT 06019 Phone: 860-693-2349 Fax: 860-693-2573 |