| Rochelle L. Collins, D.o. Llc | |
|
1 Bestor Ln Bloomfield CT 06002-2485 | |
| (860) 206-2122 | |
| (860) 243-3820 |
| Full Name | Rochelle L. Collins, D.o. Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Bestor Ln, Bloomfield, Connecticut |
| Authorized Official Name and Position | Rochelle Langford Collins (PHYSICIAN) |
| Authorized Official Contact | 8602062122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochelle L. Collins, D.o. Llc Po Box 217 Bloomfield CT 06002-0217 Ph: (860) 206-2122 | Rochelle L. Collins, D.o. Llc 1 Bestor Ln Bloomfield CT 06002-2485 Ph: (860) 206-2122 |
| NPI Number | 1801033618 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 09/09/2025 |
| Medicare PECOS PAC ID | 6507913340 |
|---|---|
| Medicare Enrollment ID | O20090413000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801033618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042735 (Connecticut) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | (* (Not Available)) | Secondary |
| Provider Name | Rochelle L Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205847241 PECOS PAC ID: 0648233700 Enrollment ID: I20041109000996 |
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