Albin Primary Care Llc | |
31 Old Route 7 Brookfield CT 06804-1711 | |
(203) 740-4455 | |
(203) 740-4477 |
Full Name | Albin Primary Care Llc |
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Speciality | Internal Medicine |
Location | 31 Old Route 7, Brookfield, Connecticut |
Authorized Official Name and Position | Dmitry Anatolyevich Albin (OWNER) |
Authorized Official Contact | 3525527499 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Albin Primary Care Llc Po Box 89 Brookfield CT 06804-0089 Ph: (352) 460-8811 | Albin Primary Care Llc 31 Old Route 7 Brookfield CT 06804-1711 Ph: (203) 740-4455 |
NPI Number | 1821859208 |
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Provider Enumeration Date | 01/22/2024 |
Last Update Date | 01/24/2024 |
Medicare PECOS PAC ID | 6305284381 |
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Medicare Enrollment ID | O20240410000913 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821859208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Dmitry A Albin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295906345 PECOS PAC ID: 8729148010 Enrollment ID: I20150602000512 |
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