| Bruce Rothschild, M.d., Pllc | |
|
34 Jerome Ave Bloomfield CT 06002-2463 | |
| (860) 243-5024 | |
| (860) 286-9948 |
| Full Name | Bruce Rothschild, M.d., Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 34 Jerome Ave, Bloomfield, Connecticut |
| Authorized Official Name and Position | Bruce Stephen Rothschild (MEMBER) |
| Authorized Official Contact | 8608103805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Rothschild, M.d., Pllc 34 Jerome Ave Bloomfield CT 06002-2463 Ph: (860) 243-5024 | Bruce Rothschild, M.d., Pllc 34 Jerome Ave Bloomfield CT 06002-2463 Ph: (860) 243-5024 |
| NPI Number | 1043719776 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Medicare PECOS PAC ID | 2769744333 |
|---|---|
| Medicare Enrollment ID | O20180319001633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043719776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 029851 (Connecticut) | Primary |
| Provider Name | Bruce S Rothschild |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407821176 PECOS PAC ID: 4981743184 Enrollment ID: I20091201000522 |
| Provider Name | Zoey Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841761731 PECOS PAC ID: 0446598825 Enrollment ID: I20190208003092 |
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