| Meriden Adult And Children's Pc | |
|
415 Broad St Meriden CT 06450-9999 | |
| (203) 690-9687 | |
| Not Available |
| Full Name | Meriden Adult And Children's Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 415 Broad St, Meriden, Connecticut |
| Authorized Official Name and Position | Elba Rivera (ADMINISTRATIVE ASST) |
| Authorized Official Contact | 2036909687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meriden Adult And Children's Pc 415 Broad St Meriden Adult And Children Pc Meriden CT 06450-9999 Ph: (203) 690-9687 | Meriden Adult And Children's Pc 415 Broad St Meriden CT 06450-9999 Ph: (203) 690-9687 |
| NPI Number | 1376953356 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376953356 | NPI | - | NPPES |
| 1720372840 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1720372840 (Connecticut) | Primary |
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