| Old Greenwich Medical Group Llc | |
|
8 W End Ave Old Greenwich CT 06870-1642 | |
| (203) 637-5400 | |
| (203) 637-5408 |
| Full Name | Old Greenwich Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8 W End Ave, Old Greenwich, Connecticut |
| Authorized Official Name and Position | Karyna Estrella (PRACICE MANAGER) |
| Authorized Official Contact | 2036375400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Greenwich Medical Group Llc 8 W End Ave Old Greenwich CT 06870-1642 Ph: (203) 637-5400 | Old Greenwich Medical Group Llc 8 W End Ave Old Greenwich CT 06870-1642 Ph: (203) 637-5400 |
| NPI Number | 1730932880 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 6800337452 |
|---|---|
| Medicare Enrollment ID | O20240923001828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730932880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Caroline K Lodato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609075324 PECOS PAC ID: 1052551850 Enrollment ID: I20130627000641 |
Edra Stern Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1455 East Putnam Ave, 2nd Floor, Old Greenwich, CT 06870 Phone: 203-661-4242 Fax: 203-625-9626 | |
Frederick E. Siefert, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 W End Ave, Old Greenwich, CT 06870 Phone: 203-637-5406 Fax: 203-637-5408 | |
Rebecca Warkol Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 W End Ave, Old Greenwich, CT 06870 Phone: 203-637-5406 Fax: 203-637-5408 |