| Coventry Internal Medicine | |
|
1366 Main St Coventry CT 06238-3168 | |
| (860) 742-0807 | |
| (860) 742-8702 |
| Full Name | Coventry Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1366 Main St, Coventry, Connecticut |
| Authorized Official Name and Position | Michael E. Keenan (PRESIDENT) |
| Authorized Official Contact | 8607420807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coventry Internal Medicine 1366 Main St Coventry CT 06238-3168 Ph: (860) 742-0807 | Coventry Internal Medicine 1366 Main St Coventry CT 06238-3168 Ph: (860) 742-0807 |
| NPI Number | 1346435898 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346435898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 026639 (Connecticut) | Primary |
Tlc Healthcare Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 N Farms Rd, Coventry, CT 06238 Phone: 860-424-2174 |