| Hamden Medical Group, Llc | |
|
2340 Whitney Ave Hamden CT 06518-3511 | |
| (203) 248-8142 | |
| (203) 248-7764 |
| Full Name | Hamden Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2340 Whitney Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Garth Oliver (PRESIDENT/OWNER) |
| Authorized Official Contact | 2032488142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamden Medical Group, Llc 2340 Whitney Ave Hamden CT 06518-3511 Ph: (203) 248-8142 | Hamden Medical Group, Llc 2340 Whitney Ave Hamden CT 06518-3511 Ph: (203) 248-8142 |
| NPI Number | 1013147602 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 07/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013147602 | NPI | - | NPPES |
| 004215605 | Medicaid | CT | |
| 0003949400 | Other | CT | CT TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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