| David D Thompson Jr & Robert A Linden Ptr | |
|
22 W Main St Niantic CT 06357-2340 | |
| (860) 739-4431 | |
| (860) 739-9461 |
| Full Name | David D Thompson Jr & Robert A Linden Ptr |
|---|---|
| Speciality | Internal Medicine |
| Location | 22 W Main St, Niantic, Connecticut |
| Authorized Official Name and Position | David D Thompson (OWNER) |
| Authorized Official Contact | 8607394431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David D Thompson Jr & Robert A Linden Ptr 22 W Main St Niantic CT 06357-2340 Ph: (860) 739-4431 | David D Thompson Jr & Robert A Linden Ptr 22 W Main St Niantic CT 06357-2340 Ph: (860) 739-4431 |
| NPI Number | 1902090269 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 03/19/2014 |
| Medicare PECOS PAC ID | 8022101153 |
|---|---|
| Medicare Enrollment ID | O20070906000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902090269 | NPI | - | NPPES |
| 004394813 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abel Alex Donka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649322686 PECOS PAC ID: 5799888533 Enrollment ID: I20071119000404 |
| Provider Name | Constantine A Manthous |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780643759 PECOS PAC ID: 8729115787 Enrollment ID: I20100422000599 |
| Provider Name | David Duval Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477546455 PECOS PAC ID: 9436242229 Enrollment ID: I20110119000292 |
| Provider Name | Robert Paul Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003809096 PECOS PAC ID: 2163515958 Enrollment ID: I20110120000710 |
Southeastern Ct Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Liberty Way Unit B10, Niantic, CT 06357 Phone: 860-691-8084 Fax: 860-691-1195 | |
East Lyme Pediatric Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Flanders Rd, Niantic, CT 06357 Phone: 860-739-7444 Fax: 860-739-3252 |