| Collaborative Cancer Care | |
|
112 Spencer St Ste 2 Manchester CT 06040-4601 | |
| (860) 245-8853 | |
| Not Available |
| Full Name | Collaborative Cancer Care |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 112 Spencer St Ste 2, Manchester, Connecticut |
| Authorized Official Name and Position | Wendy Garvin (NURSE PRACTITIONER) |
| Authorized Official Contact | 6176503391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Cancer Care 8 Birchwood Rd East Hartford CT 06118-1702 Ph: (617) 650-3391 | Collaborative Cancer Care 112 Spencer St Ste 2 Manchester CT 06040-4601 Ph: (860) 245-8853 |
| NPI Number | 1396516381 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 8729420237 |
|---|---|
| Medicare Enrollment ID | O20240530000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396516381 | NPI | - | NPPES |
| Provider Name | Wendy S Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285950907 PECOS PAC ID: 8325227341 Enrollment ID: I20110124000603 |
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