| Family Practice & Internal Medicine Of Spring Gren Llc | |
|
2200 Whithey Ave Suite 100 Hamdeh CT 06518 | |
| (203) 407-6410 | |
| (203) 407-6433 |
| Full Name | Family Practice & Internal Medicine Of Spring Gren Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2200 Whithey Ave, Hamdeh, Connecticut |
| Authorized Official Name and Position | Fausto Peteuzziello (PHYSICIAN OWNER) |
| Authorized Official Contact | 2034076410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice & Internal Medicine Of Spring Gren Llc 2200 Whithey Ave Suite 100 Hamdeh CT 06518 Ph: (203) 407-6410 | Family Practice & Internal Medicine Of Spring Gren Llc 2200 Whithey Ave Suite 100 Hamdeh CT 06518 Ph: (203) 407-6410 |
| NPI Number | 1255371571 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255371571 | NPI | - | NPPES |
| CG7487 | Other | RRM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |