| Thompson Medical Center Llc | |
|
415 Riverside Dr Suite 1 North Grosvenordale CT 06255-2165 | |
| (860) 923-1181 | |
| (860) 923-1822 |
| Full Name | Thompson Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Riverside Dr, North Grosvenordale, Connecticut |
| Authorized Official Name and Position | Nita Chatterjee (PRESIDENT) |
| Authorized Official Contact | 8609231181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thompson Medical Center Llc 415 Riverside Dr Suite 1 North Grosvenordale CT 06255-2165 Ph: (860) 923-1181 | Thompson Medical Center Llc 415 Riverside Dr Suite 1 North Grosvenordale CT 06255-2165 Ph: (860) 923-1181 |
| NPI Number | 1013136019 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013136019 | NPI | - | NPPES |
| 004221587 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Thompson Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Riverside Dr, North Grosvenordale, CT 06255 Phone: 860-923-1190 Fax: 860-923-0134 |