| New England Integrated Primary Care | |
|
190 Main St Ste 1 East Haven CT 06512-3042 | |
| (203) 983-9839 | |
| Not Available |
| Full Name | New England Integrated Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 190 Main St, East Haven, Connecticut |
| Authorized Official Name and Position | Ann Celeste Mapas-dimaya (OWNER/M.D.) |
| Authorized Official Contact | 3474638527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Integrated Primary Care 190 Main St East Haven CT 06512-3042 Ph: (203) 467-2102 | New England Integrated Primary Care 190 Main St Ste 1 East Haven CT 06512-3042 Ph: (203) 983-9839 |
| NPI Number | 1710436308 |
|---|---|
| Provider Enumeration Date | 09/24/2016 |
| Last Update Date | 05/04/2022 |
| Medicare PECOS PAC ID | 6901163161 |
|---|---|
| Medicare Enrollment ID | O20171127002553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710436308 | NPI | - | NPPES |
| 008070777 | Medicaid | CT |
| Provider Name | Ann Celeste M Dimaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295994721 PECOS PAC ID: 6507055498 Enrollment ID: I20110107000281 |
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