| Dobrita Family Care Llc | |
|
46 W Avon Rd Suite 301 Avon CT 06001-3679 | |
| (860) 839-6333 | |
| Not Available |
| Full Name | Dobrita Family Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 46 W Avon Rd, Avon, Connecticut |
| Authorized Official Name and Position | Alina Dobrita (PHYSICIAN, MEMBER) |
| Authorized Official Contact | 8608396333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dobrita Family Care Llc 46 W Avon Rd Suite 301 Avon CT 06001-3679 Ph: (860) 839-6333 | Dobrita Family Care Llc 46 W Avon Rd Suite 301 Avon CT 06001-3679 Ph: (860) 839-6333 |
| NPI Number | 1457896862 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 12/21/2016 |
| Medicare PECOS PAC ID | 6204113210 |
|---|---|
| Medicare Enrollment ID | O20170501000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457896862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 045219 (Connecticut) | Primary |
| Provider Name | Lani F Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699862912 PECOS PAC ID: 0840292025 Enrollment ID: I20070201000453 |
| Provider Name | Alina I Dobrita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194945063 PECOS PAC ID: 4082713847 Enrollment ID: I20070620000483 |
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