| Ian R Cameron Md Pc | |
|
2174 Main St Glastonbury CT 06033-2206 | |
| (860) 657-3602 | |
| (860) 657-4421 |
| Full Name | Ian R Cameron Md Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2174 Main St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Ian Richard Cameron (PRESIDENT) |
| Authorized Official Contact | 8606573602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ian R Cameron Md Pc 2174 Main St Glastonbury CT 06033-2206 Ph: (860) 657-3602 | Ian R Cameron Md Pc 2174 Main St Glastonbury CT 06033-2206 Ph: (860) 657-3602 |
| NPI Number | 1558699256 |
|---|---|
| Provider Enumeration Date | 11/18/2009 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558699256 | NPI | - | NPPES |
| 1568404242 | Other | CT | INDIVIDUAL PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 011816 (Connecticut) | Primary |
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