Adam Bard, Md Llc | |
2150 Black Rock Tpke Rm 301 Fairfield CT 06825-3239 | |
(203) 384-2227 | |
Not Available |
Full Name | Adam Bard, Md Llc |
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Speciality | Internal Medicine |
Location | 2150 Black Rock Tpke Rm 301, Fairfield, Connecticut |
Authorized Official Name and Position | Adam J. Bard (PHYSICIAN) |
Authorized Official Contact | 2033842227 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adam Bard, Md Llc 2150 Black Rock Tpke Rm 301 Fairfield CT 06825-3239 Ph: (203) 384-2227 | Adam Bard, Md Llc 2150 Black Rock Tpke Rm 301 Fairfield CT 06825-3239 Ph: (203) 384-2227 |
NPI Number | 1518154145 |
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Provider Enumeration Date | 09/27/2007 |
Last Update Date | 09/27/2007 |
Medicare PECOS PAC ID | 4587674346 |
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Medicare Enrollment ID | O20060425000371 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518154145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Adam J Bard |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477531218 PECOS PAC ID: 3274565627 Enrollment ID: I20060425000412 |
Provider Name | Meagan Carroll |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346750510 PECOS PAC ID: 3274891791 Enrollment ID: I20171211000879 |
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