| Hospital Internists of Bristol, LLC | |
|
41 Brewster Rd Bristol CT 06010-5161 | |
| (860) 585-3313 | |
| (860) 585-3500 |
| Full Name | Hospital Internists of Bristol, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 41 Brewster Rd, Bristol, Connecticut |
| Authorized Official Name and Position | Elizabeth Tillman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8605853313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Internists of Bristol, LLC 41 Brewster Rd Bristol CT 06010-5161 Ph: (860) 585-3313 | Hospital Internists of Bristol, LLC 41 Brewster Rd Bristol CT 06010-5161 Ph: (860) 585-3313 |
| NPI Number | 1083801039 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083801039 | NPI | - | NPPES |
| C03918 | Other | CT | GROUP MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
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