| Southern Connecticut Internal Medicine | |
|
150 Sargent Dr Suite1 New Haven CT 06511-6100 | |
| (203) 781-4444 | |
| (203) 789-8341 |
| Full Name | Southern Connecticut Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 Sargent Dr, New Haven, Connecticut |
| Authorized Official Name and Position | Donna Lehman (CREDENTIALING) |
| Authorized Official Contact | 2037814444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Connecticut Internal Medicine 150 Sargent Dr Suite1 New Haven CT 06511-6100 Ph: (203) 781-4444 | Southern Connecticut Internal Medicine 150 Sargent Dr Suite1 New Haven CT 06511-6100 Ph: (203) 781-4444 |
| NPI Number | 1811092182 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811092182 | NPI | - | NPPES |
| 004197986 | Medicaid | CT | |
| G3079 | Other | CT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Luis R. Cruz, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1552 Chapel St, New Haven, CT 06511 Phone: 203-624-2117 | |
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New Haven Public Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 Meadow St, New Haven, CT 06519 Phone: 203-946-8969 Fax: 203-946-8664 | |
Leonard A . Fasano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Whalley Ave, New Haven, CT 06515 Phone: 203-387-2569 Fax: 203-387-9245 | |
Cardiology Associates Of New Haven, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Temple St, New Haven, CT 06510 Phone: 203-789-2272 Fax: 203-287-3963 | |
Yale New Haven Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-9335 | |
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