| Lusitana Healthcare, Llc. | |
|
2660 Main St Suite 205 Bridgeport CT 06606-5369 | |
| (203) 334-2000 | |
| Not Available |
| Full Name | Lusitana Healthcare, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2660 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Ana Maria Palhete (OWNER) |
| Authorized Official Contact | 2033342000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lusitana Healthcare, Llc. 2660 Main St Suite 205 Bridgeport CT 06606-5369 Ph: (203) 334-2000 | Lusitana Healthcare, Llc. 2660 Main St Suite 205 Bridgeport CT 06606-5369 Ph: (203) 334-2000 |
| NPI Number | 1962683219 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 11/15/2007 |
| Medicare PECOS PAC ID | 2961592126 |
|---|---|
| Medicare Enrollment ID | O20071212000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962683219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 044625 (Connecticut) | Primary |
| Provider Name | Ana M Palhete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912010158 PECOS PAC ID: 6507956760 Enrollment ID: I20071212000427 |
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