Bss Md Ct Pllc | |
1423 Chapel St New Haven CT 06511-4411 | |
(203) 658-6051 | |
Not Available |
Full Name | Bss Md Ct Pllc |
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Speciality | Internal Medicine |
Location | 1423 Chapel St, New Haven, Connecticut |
Authorized Official Name and Position | Steven Murphy (OWNER) |
Authorized Official Contact | 2035548166 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bss Md Ct Pllc 30 Buxton Farm Rd Stamford CT 06905-1224 Ph: () - | Bss Md Ct Pllc 1423 Chapel St New Haven CT 06511-4411 Ph: (203) 658-6051 |
NPI Number | 1124773858 |
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Provider Enumeration Date | 02/22/2022 |
Last Update Date | 02/22/2022 |
Medicare PECOS PAC ID | 4789067695 |
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Medicare Enrollment ID | O20220810000757 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124773858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Brian S Sheets |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1023171204 PECOS PAC ID: 6305800947 Enrollment ID: I20041115000327 |
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