Altorelli Health, Llc | |
125 New Milford Tpke New Preston Marble Dale CT 06777-1703 | |
(860) 868-7318 | |
Not Available |
Full Name | Altorelli Health, Llc |
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Speciality | Internal Medicine |
Location | 125 New Milford Tpke, New Preston Marble Dale, Connecticut |
Authorized Official Name and Position | Brandon Sprague (OWNER) |
Authorized Official Contact | 5165676306 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Altorelli Health, Llc 125 New Milford Tpke New Preston Marble Dale CT 06777-1703 Ph: (860) 868-7318 | Altorelli Health, Llc 125 New Milford Tpke New Preston Marble Dale CT 06777-1703 Ph: (860) 868-7318 |
NPI Number | 1922536788 |
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Provider Enumeration Date | 05/24/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8921355157 |
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Medicare Enrollment ID | O20180719001441 |
Identifier | Type | State | Issuer |
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1922536788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (Connecticut) | Primary |
Provider Name | Abra Mabasa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477715035 PECOS PAC ID: 6507932308 Enrollment ID: I20080902000297 |
Provider Name | Nicole Lauren Altorelli |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1962814673 PECOS PAC ID: 5193044006 Enrollment ID: I20180719001531 |