| Baginski Medical Llc | |
|
4 Corporate Dr Suite 283 Shelton CT 06484-6211 | |
| (203) 944-9775 | |
| (203) 944-9964 |
| Full Name | Baginski Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4 Corporate Dr, Shelton, Connecticut |
| Authorized Official Name and Position | Piotr Waldemar Baginski (OWNER) |
| Authorized Official Contact | 2039449775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baginski Medical Llc 3 Hickory Lane Ansonia CT 06403 Ph: (203) 734-1617 | Baginski Medical Llc 4 Corporate Dr Suite 283 Shelton CT 06484-6211 Ph: (203) 944-9775 |
| NPI Number | 1710058631 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355370321 |
|---|---|
| Medicare Enrollment ID | O20050810000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710058631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 039585 (Connecticut) | Primary |
| Provider Name | Piotr W Baginski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164449906 PECOS PAC ID: 7113955428 Enrollment ID: I20050728000607 |
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