| Promed Preferred Ct, PC | |
|
280 Trumbull St Fl 12 Hartford CT 06103-5303 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred Ct, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 280 Trumbull St Fl 12, Hartford, Connecticut |
| Authorized Official Name and Position | Lev Grinman (PRESIDENT) |
| Authorized Official Contact | 6154993165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Ct, PC 194 Cresthill Ave Clifton NJ 07012-1513 | Promed Preferred Ct, PC 280 Trumbull St Fl 12 Hartford CT 06103-5303 Ph: (615) 499-3165 |
| NPI Number | 1295625382 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 08/19/2026 |
| Certification Date | 08/19/2026 |
| Medicare PECOS PAC ID | 7911408661 |
|---|---|
| Medicare Enrollment ID | O20250903000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295625382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | De-andra Warberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073320008 PECOS PAC ID: 5092244111 Enrollment ID: I20250903000656 |
| Provider Name | Mordechai Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811849540 PECOS PAC ID: 4082181292 Enrollment ID: I20260425000219 |
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