| Polaris Psychiatry Pllc | |
|
674 Prospect Ave Ste 4 Hartford CT 06105-4288 | |
| (860) 846-7137 | |
| (860) 590-3921 |
| Full Name | Polaris Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 674 Prospect Ave Ste 4, Hartford, Connecticut |
| Authorized Official Name and Position | Christopher Hammel (MANAGING MEMBER) |
| Authorized Official Contact | 8608467137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Polaris Psychiatry Pllc 674 Prospect Ave Ste 4 Hartford CT 06105-4288 Ph: (860) 846-7137 | Polaris Psychiatry Pllc 674 Prospect Ave Ste 4 Hartford CT 06105-4288 Ph: (860) 846-7137 |
| NPI Number | 1073396131 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 2961856794 |
|---|---|
| Medicare Enrollment ID | O20230928000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073396131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Tonya Ruggieri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336676055 PECOS PAC ID: 0840622858 Enrollment ID: I20191113001110 |
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