| Guardian Health Center, Pa | |
|
179 Flanders Rd Niantic CT 06357-1206 | |
| (860) 949-3040 | |
| Not Available |
| Full Name | Guardian Health Center, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 179 Flanders Rd, Niantic, Connecticut |
| Authorized Official Name and Position | Troy Frazer (PRESIDENT) |
| Authorized Official Contact | 8609493040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Health Center, Pa 179 Flanders Rd Niantic CT 06357-1206 Ph: (860) 949-3040 | Guardian Health Center, Pa 179 Flanders Rd Niantic CT 06357-1206 Ph: (860) 949-3040 |
| NPI Number | 1184839128 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 7911999727 |
|---|---|
| Medicare Enrollment ID | O20240918000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184839128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Troy D Frazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689775918 PECOS PAC ID: 2062547300 Enrollment ID: I20191017002124 |
East Lyme Pediatric Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Flanders Rd, Niantic, CT 06357 Phone: 860-739-7444 Fax: 860-739-3252 | |
David D Thompson Jr & Robert A Linden Ptr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 W Main St, Niantic, CT 06357 Phone: 860-739-4431 Fax: 860-739-9461 |