| Darien Signature Health, Inc. | |
|
53 Old Kings Hwy N Suite 205 Darien CT 06820-4735 | |
| (203) 918-0481 | |
| Not Available |
| Full Name | Darien Signature Health, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 53 Old Kings Hwy N, Darien, Connecticut |
| Authorized Official Name and Position | Amanda Collins-baine (PRESIDENT) |
| Authorized Official Contact | 2039180481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Darien Signature Health, Inc. 53 Old Kings Highway North Suite 205 Darien CT 08820 Ph: (203) 918-0481 | Darien Signature Health, Inc. 53 Old Kings Hwy N Suite 205 Darien CT 06820-4735 Ph: (203) 918-0481 |
| NPI Number | 1851827000 |
|---|---|
| Provider Enumeration Date | 05/10/2017 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 1254609779 |
|---|---|
| Medicare Enrollment ID | O20170623001977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851827000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 039661 (Connecticut) | Primary |
| Provider Name | Amanda C Collins-baine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154340040 PECOS PAC ID: 2163443870 Enrollment ID: I20051209000190 |
| Provider Name | Jenifer Drummond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548425085 PECOS PAC ID: 8628102282 Enrollment ID: I20100818000160 |
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