Chanda Tamara Reece, | |
1093 Prospect Ave, West Hartford, CT 06105-1104 | |
(860) 944-7316 | |
Not Available |
Full Name | Chanda Tamara Reece |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1093 Prospect Ave, West Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043909633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 169231 (Connecticut) | Primary |
Entity Name | Anesthesiologists Of Middletown, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851317135 PECOS PAC ID: 2769479781 Enrollment ID: O20040429001224 |
Entity Name | Endoscopy Center Of Connecticut, Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1386757854 PECOS PAC ID: 0143226712 Enrollment ID: O20070117000018 |
Entity Name | Charter Anesthesiology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730674532 PECOS PAC ID: 2163763830 Enrollment ID: O20190520001013 |
Mailing Address | Practice Location Address |
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Chanda Tamara Reece, 360 State St Apt 2310, New Haven, CT 06510-3622 Ph: (718) 598-7514 | Chanda Tamara Reece, 1093 Prospect Ave, West Hartford, CT 06105-1104 Ph: (860) 944-7316 |
Jillian P Sipperly, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1093 Prospect Ave, West Hartford, CT 06105 Phone: 860-977-4878 |