| Jonathan H. Tress M.d. Llc | |
|
100 Retreat Ave Suite 200 Hartford CT 06106-2528 | |
| (860) 548-9293 | |
| (860) 548-9933 |
| Full Name | Jonathan H. Tress M.d. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Retreat Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Jonathan Harold Tress (OWNER) |
| Authorized Official Contact | 8605489293 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan H. Tress M.d. Llc 100 Retreat Ave Suite 200 Hartford CT 06106-2528 Ph: (860) 548-9293 | Jonathan H. Tress M.d. Llc 100 Retreat Ave Suite 200 Hartford CT 06106-2528 Ph: (860) 548-9293 |
| NPI Number | 1851587034 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Medicare PECOS PAC ID | 3678567559 |
|---|---|
| Medicare Enrollment ID | O20040413001048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851587034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 26116 (Connecticut) | Primary |
| Provider Name | Jonathan H Tress |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013016187 PECOS PAC ID: 2365436243 Enrollment ID: I20040413001262 |
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