| Victor Tirado Md Llc | |
|
929 Silas Deane Hwy 2nd Floor West Wethersfield CT 06109-4220 | |
| (860) 372-4731 | |
| (860) 372-4730 |
| Full Name | Victor Tirado Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 929 Silas Deane Hwy, Wethersfield, Connecticut |
| Authorized Official Name and Position | Victor Tirado-montanez (OWNER) |
| Authorized Official Contact | 8603724731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Tirado Md Llc 929 Silas Deane Hwy 2nd Floor West Wethersfield CT 06109-4220 Ph: (860) 372-4731 | Victor Tirado Md Llc 929 Silas Deane Hwy 2nd Floor West Wethersfield CT 06109-4220 Ph: (860) 372-4731 |
| NPI Number | 1063644391 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 07/19/2012 |
| Medicare PECOS PAC ID | 7113072620 |
|---|---|
| Medicare Enrollment ID | O20090908000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063644391 | NPI | - | NPPES |
| Provider Name | Victor Tirado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609855592 PECOS PAC ID: 4082665294 Enrollment ID: I20050204000538 |
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