| Bristol Primary Care Llc | |
|
665 Terryville Ave Unit 2 Bristol CT 06010-4078 | |
| (860) 261-5217 | |
| Not Available |
| Full Name | Bristol Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 665 Terryville Ave Unit 2, Bristol, Connecticut |
| Authorized Official Name and Position | Hashmukh Patel (MEMBER) |
| Authorized Official Contact | 2018877056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Primary Care Llc Po Box 371 Bristol CT 06011-0371 Ph: (860) 261-5217 | Bristol Primary Care Llc 665 Terryville Ave Unit 2 Bristol CT 06010-4078 Ph: (860) 261-5217 |
| NPI Number | 1588385504 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 8628446861 |
|---|---|
| Medicare Enrollment ID | O20221121000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588385504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kalpesh A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366785800 PECOS PAC ID: 7113151242 Enrollment ID: I20131003000417 |
| Provider Name | Hasmukh L Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659792588 PECOS PAC ID: 3577877059 Enrollment ID: I20160404001255 |
| Provider Name | Roshani Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265853154 PECOS PAC ID: 9830407071 Enrollment ID: I20160505000467 |
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