| Dartmouth Endocrinology, Diabetes And Metabolism, Llc | |
|
44 Dale Rd Ste 201 Avon CT 06001-4351 | |
| (860) 679-0234 | |
| (860) 606-0060 |
| Full Name | Dartmouth Endocrinology, Diabetes And Metabolism, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 44 Dale Rd Ste 201, Avon, Connecticut |
| Authorized Official Name and Position | Gregory J Bombassei (OWNER) |
| Authorized Official Contact | 8606790234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dartmouth Endocrinology, Diabetes And Metabolism, Llc 44 Dale Rd Ste 201 Avon CT 06001-4351 Ph: (860) 679-0234 | Dartmouth Endocrinology, Diabetes And Metabolism, Llc 44 Dale Rd Ste 201 Avon CT 06001-4351 Ph: (860) 679-0234 |
| NPI Number | 1669669982 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 9335175975 |
|---|---|
| Medicare Enrollment ID | O20050714000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669669982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 032434 (Connecticut) | Primary |
| Provider Name | Gregory J Bombassei |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962582718 PECOS PAC ID: 2961438502 Enrollment ID: I20050714000466 |
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