Guardian Health Center, Pa | |
179 Flanders Rd Niantic CT 06357-1206 | |
(860) 949-3040 | |
Not Available |
Full Name | Guardian Health Center, Pa |
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Speciality | Family Medicine |
Location | 179 Flanders Rd, Niantic, Connecticut |
Authorized Official Name and Position | Troy Frazer (PRESIDENT) |
Authorized Official Contact | 8609493040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guardian Health Center, Pa 179 Flanders Rd Niantic CT 06357-1206 Ph: (860) 949-3040 | Guardian Health Center, Pa 179 Flanders Rd Niantic CT 06357-1206 Ph: (860) 949-3040 |
NPI Number | 1184839128 |
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Provider Enumeration Date | 05/12/2007 |
Last Update Date | 08/14/2024 |
Medicare PECOS PAC ID | 7911999727 |
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Medicare Enrollment ID | O20240918000337 |
Identifier | Type | State | Issuer |
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1184839128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Troy D Frazer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689775918 PECOS PAC ID: 2062547300 Enrollment ID: I20191017002124 |
David D Thompson Jr & Robert A Linden Ptr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 W Main St, Niantic, CT 06357 Phone: 860-739-4431 Fax: 860-739-9461 |