Eucharia Mambo Kenta-bibi, MD | |
1000 Silver Street, Connecticut Valley Hospital, Middletown, CT 06457-7023 | |
(860) 262-5154 | |
(860) 262-5122 |
Full Name | Eucharia Mambo Kenta-bibi |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1000 Silver Street, Middletown, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578717815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 051460 (Connecticut) | Primary |
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245256247 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000535 |
Mailing Address | Practice Location Address |
---|---|
Eucharia Mambo Kenta-bibi, MD 1000 Silver Street, Connecticut Valley Hospital, Middletown, CT 06457-7023 Ph: (860) 262-5154 | Eucharia Mambo Kenta-bibi, MD 1000 Silver Street, Connecticut Valley Hospital, Middletown, CT 06457-7023 Ph: (860) 262-5154 |
Mr. Thomas J Mclarney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 327 High St, Davison Health Center, Middletown, CT 06459 Phone: 860-685-2470 Fax: 860-685-2471 | |
Dr. James Robert Ulager, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Centerpoint Dr Ste 105, Middletown, CT 06457 Phone: 860-215-2295 | |
Kimberly Legere-sharples, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 S Main St, Family Practice Group, Middletown, CT 06457 Phone: 860-358-6300 Fax: 860-358-9249 | |
Matthew Huddleston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 675 Main St, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-343-7379 | |
Keith Sinusas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 S Main St, Middletown, CT 06457 Phone: 860-344-6300 Fax: 860-344-9249 | |
Alexandra Anne Carlson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-4798 | |
Dr. Matthew J. Raider, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 645 Saybrook Rd, Middletown, CT 06457 Phone: 860-767-4024 Fax: 860-344-9906 |