| Connecticut Health Care Group, Llc | |
|
300 Hebron Ave Suite 113 Glastonbury CT 06033-2176 | |
| (860) 657-0764 | |
| Not Available |
| Full Name | Connecticut Health Care Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Hebron Ave, Glastonbury, Connecticut |
| Authorized Official Name and Position | Shannon Lahouse (OFFICE MANAGER) |
| Authorized Official Contact | 8606570764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Health Care Group, Llc 300 Hebron Ave Suite 113 Glastonbury CT 06033-2176 Ph: (860) 657-0764 | Connecticut Health Care Group, Llc 300 Hebron Ave Suite 113 Glastonbury CT 06033-2176 Ph: (860) 657-0764 |
| NPI Number | 1376585935 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 03/25/2014 |
| Medicare PECOS PAC ID | 7214829696 |
|---|---|
| Medicare Enrollment ID | O20040329001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376585935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 031112 (Connecticut) | Primary |
| Provider Name | Kenneth P Abriola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083693022 PECOS PAC ID: 6800788282 Enrollment ID: I20040406000051 |
| Provider Name | Albert L Zucchetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386071710 PECOS PAC ID: 7416183009 Enrollment ID: I20131204001941 |
| Provider Name | Wojchiech Junger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598150609 PECOS PAC ID: 5698096782 Enrollment ID: I20150601002214 |
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