| Ample Urgent And Primary Care Llc | |
|
10 Princeton St West Hartford CT 06110-1893 | |
| (860) 707-5392 | |
| Not Available |
| Full Name | Ample Urgent And Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Princeton St, West Hartford, Connecticut |
| Authorized Official Name and Position | Mojdeh Heidari (OWNER) |
| Authorized Official Contact | 8607075392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ample Urgent And Primary Care Llc 10 Princeton St West Hartford CT 06110-1893 Ph: (860) 707-5392 | Ample Urgent And Primary Care Llc 10 Princeton St West Hartford CT 06110-1893 Ph: (860) 707-5392 |
| NPI Number | 1497474191 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 09/30/2022 |
| Medicare PECOS PAC ID | 6002292802 |
|---|---|
| Medicare Enrollment ID | O20221003000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497474191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mojdeh Heidari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306300397 PECOS PAC ID: 7719363514 Enrollment ID: I20221003000236 |
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