| Eastern Ct Medical Professionals | |
|
71 Haynes St Miller Bldg, Floor G Manchester CT 06040-4131 | |
| (860) 533-2981 | |
| (860) 533-2975 |
| Full Name | Eastern Ct Medical Professionals |
|---|---|
| Speciality | Family Medicine |
| Location | 71 Haynes St, Manchester, Connecticut |
| Authorized Official Name and Position | Peter J Karl (PRESIDENT & CEO) |
| Authorized Official Contact | 8606461222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Ct Medical Professionals 71 Haynes St Miller Bldg, Floor G Manchester CT 06040-4131 Ph: (860) 533-2981 | Eastern Ct Medical Professionals 71 Haynes St Miller Bldg, Floor G Manchester CT 06040-4131 Ph: (860) 533-2981 |
| NPI Number | 1770557712 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770557712 | NPI | - | NPPES |
| 004212750 | Medicaid | CT | |
| 004271285 | Medicaid | CT | |
| 004268571 | Medicaid | CT | |
| 004271300 | Medicaid | CT | |
| 01003917CT05 | Other | CT | ANTHEM ID - ALI HEMACHA, MD |
| 004268620 | Medicaid | CT | |
| 004181351 | Medicaid | CT |
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