| Fernando Barahona Md Pc | |
|
1435 Bedford St Ste 1n Stamford CT 06905-5225 | |
| (203) 424-7995 | |
| Not Available |
| Full Name | Fernando Barahona Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1435 Bedford St Ste 1n, Stamford, Connecticut |
| Authorized Official Name and Position | Fernando Barahona (PRESIDENT) |
| Authorized Official Contact | 2034247995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Barahona Md Pc 1435 Bedford St Ste 1n Stamford CT 06905-5225 Ph: (203) 424-7995 | Fernando Barahona Md Pc 1435 Bedford St Ste 1n Stamford CT 06905-5225 Ph: (203) 424-7995 |
| NPI Number | 1720590706 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 10/02/2018 |
| Medicare PECOS PAC ID | 2264794957 |
|---|---|
| Medicare Enrollment ID | O20180316000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720590706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 54638 (Connecticut) | Primary |
| Provider Name | Mariana Negrila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437490620 PECOS PAC ID: 1355646340 Enrollment ID: I20180405000371 |
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