Better Life Better Health Pllc | |
728 Broad Street Ext # B Waterford CT 06385-1345 | |
(860) 574-9277 | |
(860) 574-9209 |
Full Name | Better Life Better Health Pllc |
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Speciality | Family Medicine |
Location | 728 Broad Street Ext # B, Waterford, Connecticut |
Authorized Official Name and Position | Melissa L Gomez (PRACTICE MANAGER) |
Authorized Official Contact | 8605749277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Better Life Better Health Pllc 728 Broad Street Ext # B Waterford CT 06385-1345 Ph: (860) 574-9277 | Better Life Better Health Pllc 728 Broad Street Ext # B Waterford CT 06385-1345 Ph: (860) 574-9277 |
NPI Number | 1063071017 |
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Provider Enumeration Date | 06/12/2019 |
Last Update Date | 12/16/2019 |
Medicare PECOS PAC ID | 4284069782 |
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Medicare Enrollment ID | O20200109002777 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063071017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ingrid M Feder |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609872845 PECOS PAC ID: 3274580709 Enrollment ID: I20050406000487 |
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