| Ellis Medical Center, Llc | |
|
701 Cottage Grove Rd Suite A110 Bloomfield CT 06002-3080 | |
| (860) 243-1864 | |
| Not Available |
| Full Name | Ellis Medical Center, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 701 Cottage Grove Rd, Bloomfield, Connecticut |
| Authorized Official Name and Position | Lenworth Ellis (MANAGING MEMBER) |
| Authorized Official Contact | 8602431864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Medical Center, Llc 701 Cottage Grove Rd Suite A110 Bloomfield CT 06002-3080 Ph: (860) 243-1864 | Ellis Medical Center, Llc 701 Cottage Grove Rd Suite A110 Bloomfield CT 06002-3080 Ph: (860) 243-1864 |
| NPI Number | 1346484672 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 04/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346484672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 041803 (Connecticut) | Primary |
David J Domenichini Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002 Phone: 860-561-1007 Fax: 860-561-1222 | |
Roy A. Kellerman, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Cottage Grove Rd Ste A110, Bloomfield, CT 06002 Phone: 860-243-5569 Fax: 860-243-2622 | |
Joel M. Miller M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Northwestern Dr Ste 300, Bloomfield, CT 06002 Phone: 860-242-6633 Fax: 860-286-8411 | |
E Y Evans Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Cottage Grove Rd, Building C Suite 130, Bloomfield, CT 06002 Phone: 860-243-3352 Fax: 860-243-3329 | |
Charter Oak Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave Ste 101, Bloomfield, CT 06002 Phone: 860-550-7500 Fax: 860-216-4164 | |
Urgent Care Center Of Bloomfield Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 699 Cottage Grove Rd, Bloomfield, CT 06002 Phone: 860-242-0034 Fax: 860-242-3301 |