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1224 Mill St Ste 201, East Berlin, CT 06023-1159 | |
(860) 570-3400 | |
(860) 570-0750 |
Full Name | |
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Type | Facility |
Speciality | Neuromusculoskeletal Medicine & Omm |
Location | 1224 Mill St Ste 201, East Berlin, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1851771273 | NPI | - | NPPES |
Provider Name | Steven C Shifreen |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1871663328 PECOS PAC ID: 4385771070 Enrollment ID: I20100429000327 |
Provider Name | Julie W Shifreen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710144415 PECOS PAC ID: 3678880374 Enrollment ID: I20150914000193 |
Mailing Address | Practice Location Address |
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1224 Mill St Ste 201, East Berlin, CT 06023-1159 Ph: (860) 570-3400 | 1224 Mill St Ste 201, East Berlin, CT 06023-1159 Ph: (860) 570-3400 |