| Suffield Medical Associates | |
|
162 Mountain Rd Suffield CT 06078-2091 | |
| (860) 668-1211 | |
| (860) 668-2045 |
| Full Name | Suffield Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 162 Mountain Rd, Suffield, Connecticut |
| Authorized Official Name and Position | Walter R Kope (OWNER) |
| Authorized Official Contact | 8606681211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffield Medical Associates 162 Mountain Rd Suffield CT 06078-2091 Ph: (860) 668-1211 | Suffield Medical Associates 162 Mountain Rd Suffield CT 06078-2091 Ph: (860) 668-1211 |
| NPI Number | 1417129800 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 03/26/2008 |
| Medicare PECOS PAC ID | 6204025950 |
|---|---|
| Medicare Enrollment ID | O20110111000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417129800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | George D Anastasio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770508087 PECOS PAC ID: 8527182278 Enrollment ID: I20110111000593 |
| Provider Name | Stephen B Yuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295754133 PECOS PAC ID: 4789708447 Enrollment ID: I20110111000698 |