Gales Ferry Medical Group Llc | |
1527 Route 12 Gales Ferry CT 06335-1800 | |
(860) 464-7274 | |
(860) 464-7404 |
Full Name | Gales Ferry Medical Group Llc |
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Speciality | Internal Medicine |
Location | 1527 Route 12, Gales Ferry, Connecticut |
Authorized Official Name and Position | John J Hennessey (PARTNER) |
Authorized Official Contact | 8604647253 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gales Ferry Medical Group Llc Po Box 335 Gales Ferry CT 06335-0335 Ph: (860) 464-7274 | Gales Ferry Medical Group Llc 1527 Route 12 Gales Ferry CT 06335-1800 Ph: (860) 464-7274 |
NPI Number | 1194859058 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3971645359 |
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Medicare Enrollment ID | O20100122000631 |
Identifier | Type | State | Issuer |
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1194859058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Kathleen M Oconnor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457351017 PECOS PAC ID: 9739159351 Enrollment ID: I20040729001140 |
Provider Name | Catherine Krenicky |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497988711 PECOS PAC ID: 3971647546 Enrollment ID: I20100219000586 |
Provider Name | Mary Murphy-fiengo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003887001 PECOS PAC ID: 8224170600 Enrollment ID: I20100902000055 |
Provider Name | John J Hennessey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215916564 PECOS PAC ID: 0143362525 Enrollment ID: I20100902000771 |
Provider Name | Sanford Greenhouse |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669451894 PECOS PAC ID: 4688716061 Enrollment ID: I20100908000473 |