| Norwich Endocrinology Llc | |
|
119 Sachem St Norwich CT 06360-4128 | |
| (860) 859-3006 | |
| (860) 859-1222 |
| Full Name | Norwich Endocrinology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 Sachem St, Norwich, Connecticut |
| Authorized Official Name and Position | Constantin Carseli (OWNER) |
| Authorized Official Contact | 8608593006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norwich Endocrinology Llc 119 Sachem St Norwich CT 06360-4128 Ph: (860) 859-3006 | Norwich Endocrinology Llc 119 Sachem St Norwich CT 06360-4128 Ph: (860) 859-3006 |
| NPI Number | 1558418707 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 5395746457 |
|---|---|
| Medicare Enrollment ID | O20070117000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558418707 | NPI | - | NPPES |
| 11045496 | Other | CAQH NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 040484 (Connecticut) | Primary |
| Provider Name | Constantin Carseli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255428132 PECOS PAC ID: 3779584834 Enrollment ID: I20070117000028 |
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