| David Schwindt Llc | |
|
23 Clara Drive Suite 204 Mystic CT 06355 | |
| (860) 572-0010 | |
| (860) 536-2799 |
| Full Name | David Schwindt Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23 Clara Drive, Mystic, Connecticut |
| Authorized Official Name and Position | David Schwindt (OWNER PROVIDER) |
| Authorized Official Contact | 86057200010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Schwindt Llc 23 Clara Drive Suite 204 Mystic CT 06355 Ph: (860) 572-0010 | David Schwindt Llc 23 Clara Drive Suite 204 Mystic CT 06355 Ph: (860) 572-0010 |
| NPI Number | 1164441101 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9032124961 |
|---|---|
| Medicare Enrollment ID | O20060214000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164441101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | 0471821 (Connecticut) | Primary |
| 207RA0000X | Internal Medicine - Adolescent Medicine | MD11245 (Rhode Island) | Secondary |
| Provider Name | David Schwindt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366489536 PECOS PAC ID: 9335045707 Enrollment ID: I20031218000797 |
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