| Infectious Disease Consultancy, Llc | |
|
9 Hickory Ln Woodbridge CT 06525-1433 | |
| (203) 623-7729 | |
| Not Available |
| Full Name | Infectious Disease Consultancy, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9 Hickory Ln, Woodbridge, Connecticut |
| Authorized Official Name and Position | David John Lobo (PROPRIETOR) |
| Authorized Official Contact | 2036237729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultancy, Llc 9 Hickory Ln Woodbridge CT 06525-1433 Ph: (203) 623-7729 | Infectious Disease Consultancy, Llc 9 Hickory Ln Woodbridge CT 06525-1433 Ph: (203) 623-7729 |
| NPI Number | 1568702629 |
|---|---|
| Provider Enumeration Date | 02/26/2013 |
| Last Update Date | 02/26/2013 |
| Medicare PECOS PAC ID | 1759527260 |
|---|---|
| Medicare Enrollment ID | O20130429000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568702629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 038775 (Connecticut) | Primary |
| Provider Name | David John Lobo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811968258 PECOS PAC ID: 4385760206 Enrollment ID: I20100929000277 |
Advanced Care Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 264 Amity Rd, Suite 101, Woodbridge, CT 06525 Phone: 203-298-0650 Fax: 203-298-0973 |