| Hana J. Clements, M.d., Llc | |
|
2228 Black Rock Tpke Suite 208 Fairfield CT 06825-3237 | |
| (203) 366-1122 | |
| (203) 366-0840 |
| Full Name | Hana J. Clements, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2228 Black Rock Tpke, Fairfield, Connecticut |
| Authorized Official Name and Position | Hana J. Clements (OWNER) |
| Authorized Official Contact | 2033661122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hana J. Clements, M.d., Llc 2228 Black Rock Tpke Suite 208 Fairfield CT 06825-3237 Ph: (203) 366-1122 | Hana J. Clements, M.d., Llc 2228 Black Rock Tpke Suite 208 Fairfield CT 06825-3237 Ph: (203) 366-1122 |
| NPI Number | 1861665184 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/18/2008 |
| Medicare PECOS PAC ID | 9335169606 |
|---|---|
| Medicare Enrollment ID | O20100802000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861665184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 035623 (Connecticut) | Primary |
| Provider Name | Hana J Clements |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871518381 PECOS PAC ID: 0042273153 Enrollment ID: I20100802000218 |
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