| Beacon Falls Medical Association, Llc | |
|
202 Water St Naugatuck CT 06770-2803 | |
| (203) 729-6644 | |
| Not Available |
| Full Name | Beacon Falls Medical Association, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 202 Water St, Naugatuck, Connecticut |
| Authorized Official Name and Position | Jose R Orellana (PRESIDENT) |
| Authorized Official Contact | 2037296644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Falls Medical Association, Llc 202 Water St Naugatuck CT 06770-2803 Ph: (203) 729-6644 | Beacon Falls Medical Association, Llc 202 Water St Naugatuck CT 06770-2803 Ph: (203) 729-6644 |
| NPI Number | 1093731291 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093731291 | NPI | - | NPPES |
| CG6464 | Other | CT | RAILROAD MEDICARE |
| 50BEFALLSCT01 | Other | CT | ANTHEM BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 035834 (Connecticut) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | 035801 (Connecticut) | Secondary |
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