Daniel M Segal | |
1050 Sullivan Ave South Windsor CT 06074-2000 | |
(860) 644-2476 | |
(860) 644-1175 |
Full Name | Daniel M Segal |
---|---|
Speciality | Dentist |
Location | 1050 Sullivan Ave, South Windsor, Connecticut |
Authorized Official Name and Position | Daniel Segal (OWNER) |
Authorized Official Contact | 8606442476 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Daniel M Segal 1050 Sullivan Ave South Windsor CT 06074-2000 Ph: (860) 644-2476 | Daniel M Segal 1050 Sullivan Ave South Windsor CT 06074-2000 Ph: (860) 644-2476 |
NPI Number | 1285002063 |
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Provider Enumeration Date | 09/09/2015 |
Last Update Date | 09/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285002063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5000 (Connecticut) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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Cohen Orthodontics, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Deming St, Suite A, South Windsor, CT 06074 Phone: 860-644-0863 | |
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Rubin Dental Practice Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 469 Buckland Rd, South Windsor, CT 06074 Phone: 860-644-2136 Fax: 860-644-2217 | |
Sara E Curcio Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 Sullivan Ave, Suite A-2, South Windsor, CT 06074 Phone: 860-644-2476 Fax: 860-644-1175 |