| George Northrop LLC | |
|
13 Park Lawn Dr Bethel CT 06801-1043 | |
| (718) 963-3495 | |
| Not Available |
| Full Name | George Northrop LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13 Park Lawn Dr, Bethel, Connecticut |
| Authorized Official Name and Position | George Northrop (OWNER) |
| Authorized Official Contact | 7189633495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Northrop LLC 14 Terre Haute Rd Danbury CT 06810-7539 | George Northrop LLC 13 Park Lawn Dr Bethel CT 06801-1043 Ph: (718) 963-3495 |
| NPI Number | 1023735453 |
|---|---|
| Provider Enumeration Date | 10/26/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Medicare PECOS PAC ID | 2264800580 |
|---|---|
| Medicare Enrollment ID | O20221117001892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023735453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | George Edward Northrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760497432 PECOS PAC ID: 0345260485 Enrollment ID: I20051202000782 |
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