| Avon Medical Professionals, Llc | |
|
36 E Main St Avon CT 06001-3801 | |
| (860) 677-5533 | |
| (860) 677-5862 |
| Full Name | Avon Medical Professionals, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 36 E Main St, Avon, Connecticut |
| Authorized Official Name and Position | Evan Schiff (OWNER) |
| Authorized Official Contact | 8606775533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Medical Professionals, Llc 36 E Main St Avon CT 06001-3801 Ph: (860) 677-5533 | Avon Medical Professionals, Llc 36 E Main St Avon CT 06001-3801 Ph: (860) 677-5533 |
| NPI Number | 1902347222 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 07/24/2019 |
| Medicare PECOS PAC ID | 8224091384 |
|---|---|
| Medicare Enrollment ID | O20041109001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902347222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Evan L Schiff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609853118 PECOS PAC ID: 9133166549 Enrollment ID: I20050415000751 |
| Provider Name | Helena Grabo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427341668 PECOS PAC ID: 3971721242 Enrollment ID: I20140828000172 |
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