| Danbury Medical Group Llc | |
|
100 Reserve Rd Ste A4 Danbury CT 06810-5267 | |
| (203) 794-1979 | |
| (203) 794-1796 |
| Full Name | Danbury Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Reserve Rd Ste A4, Danbury, Connecticut |
| Authorized Official Name and Position | Martin H Williams (OWNER) |
| Authorized Official Contact | 2037941979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danbury Medical Group Llc 100 Reserve Rd Ste A4 Danbury CT 06810-5267 Ph: (203) 794-1979 | Danbury Medical Group Llc 100 Reserve Rd Ste A4 Danbury CT 06810-5267 Ph: (203) 794-1979 |
| NPI Number | 1114047024 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 10/21/2022 |
| Medicare PECOS PAC ID | 0648261057 |
|---|---|
| Medicare Enrollment ID | O20040524000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114047024 | NPI | - | NPPES |
| 004108115 | Medicaid | CT |
| Provider Name | Karen E Coblens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063479848 PECOS PAC ID: 6204825342 Enrollment ID: I20040512000424 |
| Provider Name | Madalina I Raut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649219064 PECOS PAC ID: 3274512553 Enrollment ID: I20070423000308 |
| Provider Name | Svetlana Tikhomirova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689631467 PECOS PAC ID: 4183748999 Enrollment ID: I20100831000955 |
| Provider Name | Jeffrey Scott Metzger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558328344 PECOS PAC ID: 3072637883 Enrollment ID: I20100831000971 |
| Provider Name | Martin Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902863798 PECOS PAC ID: 4082605407 Enrollment ID: I20100831000980 |
| Provider Name | Diane F Wenick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801853684 PECOS PAC ID: 9436273109 Enrollment ID: I20100901000802 |
| Provider Name | Paul Francis Dobies |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376573444 PECOS PAC ID: 3274629266 Enrollment ID: I20100902000504 |
| Provider Name | Gerald O Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184658528 PECOS PAC ID: 5496940454 Enrollment ID: I20101116000692 |
| Provider Name | Spyros A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912921891 PECOS PAC ID: 5799969762 Enrollment ID: I20110415000532 |
| Provider Name | Amy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750617817 PECOS PAC ID: 5698946556 Enrollment ID: I20110926000487 |
| Provider Name | Danielle S Phillip-journal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609282219 PECOS PAC ID: 3779880554 Enrollment ID: I20170825000981 |
| Provider Name | Brenda Edith Chacon - Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285029892 PECOS PAC ID: 5496045148 Enrollment ID: I20180712000307 |
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