| Fpim Of New Haven County,llc | |
|
205 Main St East Haven CT 06512-3003 | |
| (203) 466-5070 | |
| (203) 466-5075 |
| Full Name | Fpim Of New Haven County,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 205 Main St, East Haven, Connecticut |
| Authorized Official Name and Position | Angelo Accomando (OWNER) |
| Authorized Official Contact | 2034665070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fpim Of New Haven County,llc 205 Main St East Haven CT 06512-3003 Ph: (203) 466-5070 | Fpim Of New Haven County,llc 205 Main St East Haven CT 06512-3003 Ph: (203) 466-5070 |
| NPI Number | 1598795205 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 02/28/2013 |
| Medicare PECOS PAC ID | 1456373562 |
|---|---|
| Medicare Enrollment ID | O20060103000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598795205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Angelo Accomando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063454247 PECOS PAC ID: 3072535186 Enrollment ID: I20110111000179 |
| Provider Name | Eliza Outtrim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316703689 PECOS PAC ID: 2466893938 Enrollment ID: I20240515001004 |
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