Cll Health Care Clinic, Llc | |
527 W Thames St Unit 23 Norwich CT 06360-7153 | |
(203) 271-7089 | |
Not Available |
Full Name | Cll Health Care Clinic, Llc |
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Speciality | Clinic/Center |
Location | 527 W Thames St, Norwich, Connecticut |
Authorized Official Name and Position | Zhenxiang Liu (M.D.) |
Authorized Official Contact | 2032717089 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cll Health Care Clinic, Llc 527 W Thames St Unit 23 Norwich CT 06360-7153 Ph: (203) 271-7089 | Cll Health Care Clinic, Llc 527 W Thames St Unit 23 Norwich CT 06360-7153 Ph: (203) 271-7089 |
NPI Number | 1104245794 |
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Provider Enumeration Date | 04/10/2014 |
Last Update Date | 04/10/2014 |
Medicare PECOS PAC ID | 3274816871 |
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Medicare Enrollment ID | O20170206000856 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104245794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 048768 (Connecticut) | Primary |
Provider Name | Zhenxiang Liu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215115472 PECOS PAC ID: 7416140009 Enrollment ID: I20101014001064 |
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