Healogics Specialty Physicians Of Connecticut, Llc | |
71 Haynes St Manchester CT 06040-4131 | |
(860) 646-1222 | |
Not Available |
Full Name | Healogics Specialty Physicians Of Connecticut, Llc |
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Speciality | Internal Medicine |
Location | 71 Haynes St, Manchester, Connecticut |
Authorized Official Name and Position | Frank Williams (CEO) |
Authorized Official Contact | 9044463519 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healogics Specialty Physicians Of Connecticut, Llc 5220 Belfort Rd Suite 130 Jacksonville FL 32256-6017 Ph: () - | Healogics Specialty Physicians Of Connecticut, Llc 71 Haynes St Manchester CT 06040-4131 Ph: (860) 646-1222 |
NPI Number | 1720483415 |
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Provider Enumeration Date | 10/24/2014 |
Last Update Date | 06/01/2023 |
Medicare PECOS PAC ID | 6709102999 |
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Medicare Enrollment ID | O20150305001956 |
Identifier | Type | State | Issuer |
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1720483415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | John M Montminy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558478305 PECOS PAC ID: 9032192596 Enrollment ID: I20040608000330 |
Provider Name | Christopher M Mclaughlin |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1710943386 PECOS PAC ID: 7810982642 Enrollment ID: I20070213000603 |
Provider Name | Lorraine M Hartnett |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1801868443 PECOS PAC ID: 3375600067 Enrollment ID: I20090325000075 |
Provider Name | James Matino |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1063463313 PECOS PAC ID: 8022015684 Enrollment ID: I20090702000081 |
Provider Name | Freida Winnick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851457659 PECOS PAC ID: 6406971944 Enrollment ID: I20100921000504 |
Provider Name | Bereshith Adams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497026066 PECOS PAC ID: 4284892597 Enrollment ID: I20120215000894 |
Provider Name | William A Gray |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033402862 PECOS PAC ID: 7911163688 Enrollment ID: I20120724000819 |
Provider Name | Alexandra Lukianoff |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1427219583 PECOS PAC ID: 5890017552 Enrollment ID: I20150328000085 |
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