| Family And Internal Medicine Of Dixwell Avenue | |
|
2543 Dixwell Ave Hamden CT 06514-1809 | |
| (203) 230-4160 | |
| (203) 230-4169 |
| Full Name | Family And Internal Medicine Of Dixwell Avenue |
|---|---|
| Speciality | Internal Medicine |
| Location | 2543 Dixwell Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Babu S Kumar (PHYSICIAN) |
| Authorized Official Contact | 2032304160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Internal Medicine Of Dixwell Avenue 2543 Dixwell Ave Hamden CT 06514-1809 Ph: (203) 230-4160 | Family And Internal Medicine Of Dixwell Avenue 2543 Dixwell Ave Hamden CT 06514-1809 Ph: (203) 230-4160 |
| NPI Number | 1962681684 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 10/30/2007 |
| Medicare PECOS PAC ID | 8527148550 |
|---|---|
| Medicare Enrollment ID | O20080103000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962681684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 032892 (Connecticut) | Primary |
| Provider Name | Suni Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194709402 PECOS PAC ID: 7113948241 Enrollment ID: I20051216000016 |
| Provider Name | Babu S Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295721942 PECOS PAC ID: 3476442781 Enrollment ID: I20080103000546 |
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