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1100 Dixwell Ave Hamden CT 06514-4730 | |
(203) 787-7191 | |
(203) 777-8919 |
Full Name | |
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Speciality | Family Medicine |
Location | 1100 Dixwell Ave, Hamden, Connecticut |
Authorized Official Name and Position | Richard R Slater (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 2037877191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1100 Dixwell Ave Hamden CT 06514-4730 Ph: (203) 787-7191 | 1100 Dixwell Ave Hamden CT 06514-4730 Ph: (203) 787-7191 |
NPI Number | 1508057258 |
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Provider Enumeration Date | 08/07/2007 |
Last Update Date | 08/07/2007 |
Identifier | Type | State | Issuer |
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1508057258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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