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546 Cromwell Ave Suite 101 Rocky Hill CT 06067-1800 | |
| (860) 757-3874 | |
| (860) 757-3875 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 546 Cromwell Ave, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Tiffany Ingold (OFFICE MANAGER) |
| Authorized Official Contact | 8609691101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
546 Cromwell Ave Suite 101 Rocky Hill CT 06067-1800 Ph: (860) 757-3874 | 546 Cromwell Ave Suite 101 Rocky Hill CT 06067-1800 Ph: (860) 757-3874 |
| NPI Number | 1710312368 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 04/19/2017 |
| Medicare PECOS PAC ID | 3274758560 |
|---|---|
| Medicare Enrollment ID | O20140630000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710312368 | NPI | - | NPPES |
| Provider Name | Mahboob A Aslam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801094479 PECOS PAC ID: 5991850646 Enrollment ID: I20090901000257 |
| Provider Name | Edith Hergan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326016726 PECOS PAC ID: 6305811563 Enrollment ID: I20120810000019 |
| Provider Name | Mary Patricia Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407254733 PECOS PAC ID: 0345595468 Enrollment ID: I20180613002638 |
| Provider Name | Jeff Epps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982113379 PECOS PAC ID: 7315312196 Enrollment ID: I20230410000357 |
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