| Eileen C. Comia, Md, Llc | |
|
35 Jolley Dr Suite 102 Bloomfield CT 06002-3062 | |
| (860) 242-2200 | |
| (860) 242-2212 |
| Full Name | Eileen C. Comia, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 35 Jolley Dr, Bloomfield, Connecticut |
| Authorized Official Name and Position | Eileen Cruz Comia (OWNER) |
| Authorized Official Contact | 8602422200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eileen C. Comia, Md, Llc 35 Jolley Dr Suite 102 Bloomfield CT 06002-3062 Ph: (860) 242-2200 | Eileen C. Comia, Md, Llc 35 Jolley Dr Suite 102 Bloomfield CT 06002-3062 Ph: (860) 242-2200 |
| NPI Number | 1801941513 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 04/03/2015 |
| Medicare PECOS PAC ID | 8729181417 |
|---|---|
| Medicare Enrollment ID | O20070319000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801941513 | NPI | - | NPPES |
| C03656 | Other | CT | MEDICARE PTAN |
| 010035905CT06 | Other | CT | ANTHEM |
| 001359050 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | 001184 (Connecticut) | Secondary |
| Provider Name | Eileen C Comia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235233313 PECOS PAC ID: 7315838588 Enrollment ID: I20040325000471 |
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