| Connecticut Medical Associates | |
|
1825 Barnum Ave Suite 203 Stratford CT 06614 | |
| (203) 377-5493 | |
| (203) 380-0874 |
| Full Name | Connecticut Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1825 Barnum Ave, Stratford, Connecticut |
| Authorized Official Name and Position | Denise Marie Allen (OFFICE MANAGER) |
| Authorized Official Contact | 2033775943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Medical Associates 1825 Barnum Ave Stratford CT 06614-5333 Ph: (203) 377-5493 | Connecticut Medical Associates 1825 Barnum Ave Suite 203 Stratford CT 06614 Ph: (203) 377-5493 |
| NPI Number | 1114021466 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 09/30/2008 |
| Medicare PECOS PAC ID | 3971662453 |
|---|---|
| Medicare Enrollment ID | O20081113000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114021466 | NPI | - | NPPES |
| 004395621 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Panayotes Yannopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245323641 PECOS PAC ID: 1052470531 Enrollment ID: I20100909001155 |
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