Anthony G Lendino M.d. Llc | |
546 S Broad St Suite 4b Meriden CT 06450-6600 | |
(203) 634-3905 | |
Not Available |
Full Name | Anthony G Lendino M.d. Llc |
---|---|
Speciality | Family Medicine |
Location | 546 S Broad St, Meriden, Connecticut |
Authorized Official Name and Position | Anthony G Lendino (OWNER) |
Authorized Official Contact | 2036343905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Anthony G Lendino M.d. Llc 546 S Broad St Suite 4b Meriden CT 06450-6600 Ph: (203) 634-3905 | Anthony G Lendino M.d. Llc 546 S Broad St Suite 4b Meriden CT 06450-6600 Ph: (203) 634-3905 |
NPI Number | 1336336437 |
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Provider Enumeration Date | 10/02/2007 |
Last Update Date | 10/02/2007 |
Medicare PECOS PAC ID | 1052626801 |
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Medicare Enrollment ID | O20150824000271 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336336437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 021909 (Connecticut) | Primary |
Provider Name | Anthony Gennaro Lendino |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295783058 PECOS PAC ID: 7315006822 Enrollment ID: I20101019000833 |
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