| Advanced Pulmonary Care Llc | |
|
175 Main St Unit B Manchester CT 06042-3541 | |
| (860) 890-5111 | |
| Not Available |
| Full Name | Advanced Pulmonary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 175 Main St Unit B, Manchester, Connecticut |
| Authorized Official Name and Position | Milos Tomic (MEMBER) |
| Authorized Official Contact | 8608905111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Pulmonary Care Llc 175 Main St Unit B Manchester CT 06042-3541 Ph: () - | Advanced Pulmonary Care Llc 175 Main St Unit B Manchester CT 06042-3541 Ph: (860) 890-5111 |
| NPI Number | 1760165930 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 7214370964 |
|---|---|
| Medicare Enrollment ID | O20240209000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760165930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Milos Tomic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427532993 PECOS PAC ID: 7315289691 Enrollment ID: I20190507002151 |
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