| Quinnipiac Medical Of Branford, Llc | |
|
960 Main St Branford CT 06405-3730 | |
| (203) 488-6358 | |
| (203) 481-5327 |
| Full Name | Quinnipiac Medical Of Branford, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 960 Main St, Branford, Connecticut |
| Authorized Official Name and Position | Mary Kay Taylor (OFFICE MANAGER) |
| Authorized Official Contact | 2034886358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quinnipiac Medical Of Branford, Llc 960 Main St Branford CT 06405-3730 Ph: (203) 488-6358 | Quinnipiac Medical Of Branford, Llc 960 Main St Branford CT 06405-3730 Ph: (203) 488-6358 |
| NPI Number | 1982668240 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 02/03/2022 |
| Medicare PECOS PAC ID | 8224920798 |
|---|---|
| Medicare Enrollment ID | O20040329000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982668240 | NPI | - | NPPES |
| C02646 | Other | CT | MEDICARE |
| 50QUINLLCT01 | Other | CT | ANTHEM BCBS |
| CH3185 | Other | CT | RAILROAD MEDICARE |
| 004208931 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen A Stemler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134164650 PECOS PAC ID: 5991604621 Enrollment ID: I20040102000038 |
| Provider Name | Andrea Radebold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942264288 PECOS PAC ID: 2365421385 Enrollment ID: I20040714001109 |
| Provider Name | Joseph L Quaranta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902860232 PECOS PAC ID: 9830233501 Enrollment ID: I20100218000432 |
| Provider Name | Richard E Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215991575 PECOS PAC ID: 9739071218 Enrollment ID: I20100305000458 |
| Provider Name | Jill M Mceachern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053392837 PECOS PAC ID: 4880658863 Enrollment ID: I20120426000499 |
| Provider Name | Thomas D'addario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760877989 PECOS PAC ID: 9234441643 Enrollment ID: I20180717000628 |
| Provider Name | Alyse Marie Como |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538935663 PECOS PAC ID: 7618327149 Enrollment ID: I20231227000254 |
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