| Barochia Internal Medicine, Llc | |
|
66 Cedar St Suite 105 Newington CT 06111-2633 | |
| (860) 667-8200 | |
| (860) 667-8202 |
| Full Name | Barochia Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 66 Cedar St, Newington, Connecticut |
| Authorized Official Name and Position | Sanjay P Barochia (OWNER) |
| Authorized Official Contact | 8606678200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barochia Internal Medicine, Llc 66 Cedar St Suite 105 Newington CT 06111-2633 Ph: (860) 667-8200 | Barochia Internal Medicine, Llc 66 Cedar St Suite 105 Newington CT 06111-2633 Ph: (860) 667-8200 |
| NPI Number | 1164518361 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 09/25/2007 |
| Medicare PECOS PAC ID | 8224034418 |
|---|---|
| Medicare Enrollment ID | O20061011000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164518361 | NPI | - | NPPES |
| 001418517 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 041851 (Connecticut) | Primary |
| Provider Name | Sanjay P Barochia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972520914 PECOS PAC ID: 1355243601 Enrollment ID: I20040126000702 |
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