Family Practice & Internal Medicine Of Spring Gren Llc | |
2200 Whithey Ave Suite 100 Hamdeh CT 06518 | |
(203) 407-6410 | |
(203) 407-6433 |
Full Name | Family Practice & Internal Medicine Of Spring Gren Llc |
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Speciality | Internal Medicine |
Location | 2200 Whithey Ave, Hamdeh, Connecticut |
Authorized Official Name and Position | Fausto Peteuzziello (PHYSICIAN OWNER) |
Authorized Official Contact | 2034076410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Practice & Internal Medicine Of Spring Gren Llc 2200 Whithey Ave Suite 100 Hamdeh CT 06518 Ph: (203) 407-6410 | Family Practice & Internal Medicine Of Spring Gren Llc 2200 Whithey Ave Suite 100 Hamdeh CT 06518 Ph: (203) 407-6410 |
NPI Number | 1255371571 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1255371571 | NPI | - | NPPES |
CG7487 | Other | RRM |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |