| Wcg Ct PLLC | |
|
72 Salmon Brook Dr Glastonbury CT 06033-2131 | |
| (973) 427-9200 | |
| Not Available |
| Full Name | Wcg Ct PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 72 Salmon Brook Dr, Glastonbury, Connecticut |
| Authorized Official Name and Position | Sekuleo Gathers (OWNER) |
| Authorized Official Contact | 9734279200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wcg Ct PLLC 290 Lafayette Ave Hawthorne NJ 07506-1961 Ph: (973) 427-9200 | Wcg Ct PLLC 72 Salmon Brook Dr Glastonbury CT 06033-2131 Ph: (973) 427-9200 |
| NPI Number | 1033058987 |
|---|---|
| Provider Enumeration Date | 03/26/2026 |
| Last Update Date | 03/26/2026 |
| Certification Date | 03/26/2026 |
| Medicare PECOS PAC ID | 8628547577 |
|---|---|
| Medicare Enrollment ID | O20260520001312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033058987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Robert Craig Gallagher |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801894829 PECOS PAC ID: 7113043498 Enrollment ID: I20100923000927 |
| Provider Name | Krystl G Ortiz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750649810 PECOS PAC ID: 4284030990 Enrollment ID: I20210903002000 |
| Provider Name | Andjine Vanbokkelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851813182 PECOS PAC ID: 7113271420 Enrollment ID: I20251112001972 |
| Provider Name | Sekuleo Gathers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598842098 PECOS PAC ID: 9032214234 Enrollment ID: I20260520001668 |
| Provider Name | Darron Yelling |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770744336 PECOS PAC ID: 8224293147 Enrollment ID: I20260621000076 |
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