| Genesis Medica Llc | |
|
247 Broad Street Milford CT 06460-3267 | |
| (203) 693-2230 | |
| (203) 693-2232 |
| Full Name | Genesis Medica Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 247 Broad Street, Milford, Connecticut |
| Authorized Official Name and Position | Sanjay Aggarwal (MD/OWNER) |
| Authorized Official Contact | 2038653880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Medica Llc 1427 Chapel St New Haven CT 06511-4403 Ph: (203) 865-3880 | Genesis Medica Llc 247 Broad Street Milford CT 06460-3267 Ph: (203) 693-2230 |
| NPI Number | 1295253110 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 11/15/2017 |
| Medicare PECOS PAC ID | 8921368143 |
|---|---|
| Medicare Enrollment ID | O20180208002072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295253110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036883 (Connecticut) | Primary |
| Provider Name | Sanjay Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912927658 PECOS PAC ID: 9335104504 Enrollment ID: I20041130000258 |
| Provider Name | Gloria A Nardella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093101149 PECOS PAC ID: 0042574311 Enrollment ID: I20180514002565 |
| Provider Name | Liming Zeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407338882 PECOS PAC ID: 2769817949 Enrollment ID: I20200116000429 |
Dr. John Katsetos Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 353 Bridgeport Avenue, Milford, CT 06460 Phone: 203-877-1212 Fax: 203-877-1211 | |
Dean Har Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2044 Bridgeport Ave Ste B, Milford, CT 06460 Phone: 203-298-9191 Fax: 203-298-9194 | |
Bridges Primary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 949 Bridgeport Ave, Milford, CT 06460 Phone: 203-878-6365 Fax: 203-683-3615 | |
Stravada Wellness Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Broad St Unit C-4, Milford, CT 06460 Phone: 413-218-9839 | |
Steven L. Saunders, M.d., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 849 Boston Post Rd Ste 102, Milford, CT 06460 Phone: 203-878-6848 Fax: 203-876-6852 | |
Seby Jacob Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2047 Bridgeport Ave, Milford, CT 06460 Phone: 203-876-4325 |