| 828 - Urgent Care | |
|
1783 Meriden Waterbury Tpke Southington CT 06479-0268 | |
| (203) 404-1010 | |
| (860) 426-2898 |
| Full Name | 828 - Urgent Care |
|---|---|
| Speciality | General Practice |
| Location | 1783 Meriden Waterbury Tpke, Southington, Connecticut |
| Authorized Official Name and Position | Nirmala Panwar (OWNER) |
| Authorized Official Contact | 2034041010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 828 - Urgent Care 102 Pembroke Rd Hamden CT 06514-2626 Ph: (203) 404-1010 | 828 - Urgent Care 1783 Meriden Waterbury Tpke Southington CT 06479-0268 Ph: (203) 404-1010 |
| NPI Number | 1093106866 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 10/15/2019 |
| Medicare PECOS PAC ID | 9638485337 |
|---|---|
| Medicare Enrollment ID | O20150826000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093106866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Nirmala Panwar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720215817 PECOS PAC ID: 0547576241 Enrollment ID: I20150831001181 |
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