| Glastonbury Psychiatric Care Llc | |
|
200 Oak St Glastonbury CT 06033-4805 | |
| (959) 867-9880 | |
| Not Available |
| Full Name | Glastonbury Psychiatric Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 Oak St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Sarah Jane De Asis Vargas (PSYCHIATRIST) |
| Authorized Official Contact | 2016604384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glastonbury Psychiatric Care Llc 90 Grandview Dr Glastonbury CT 06033-3931 Ph: (201) 660-4384 | Glastonbury Psychiatric Care Llc 200 Oak St Glastonbury CT 06033-4805 Ph: (959) 867-9880 |
| NPI Number | 1508546524 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Medicare PECOS PAC ID | 6800244872 |
|---|---|
| Medicare Enrollment ID | O20231201000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508546524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sarah Jane De Asis Vargas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225293749 PECOS PAC ID: 7214193275 Enrollment ID: I20120720000006 |
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