| Heritage Internal Medicine Associates Llc | |
|
945 Main St Suite 102 Manchester CT 06040-6064 | |
| (860) 643-0319 | |
| (860) 812-0310 |
| Full Name | Heritage Internal Medicine Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 945 Main St, Manchester, Connecticut |
| Authorized Official Name and Position | Marjorie Arzt Garrett (OWNER) |
| Authorized Official Contact | 8608010316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Internal Medicine Associates Llc 945 Main St Suite 102 Manchester CT 06040-6064 Ph: (860) 643-0319 | Heritage Internal Medicine Associates Llc 945 Main St Suite 102 Manchester CT 06040-6064 Ph: (860) 643-0319 |
| NPI Number | 1609051044 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 03/01/2013 |
| Medicare PECOS PAC ID | 2365528791 |
|---|---|
| Medicare Enrollment ID | O20080326000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609051044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 038384 (Connecticut) | Primary |
| Provider Name | Marjorie A Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710955935 PECOS PAC ID: 9537245865 Enrollment ID: I20080326000611 |
| Provider Name | Andrew P Garrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386613305 PECOS PAC ID: 2163508490 Enrollment ID: I20080326000725 |
| Provider Name | Ling Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417135195 PECOS PAC ID: 4385720523 Enrollment ID: I20080327000634 |
| Provider Name | Constantine Zariphes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992788970 PECOS PAC ID: 3072699305 Enrollment ID: I20080328000001 |
| Provider Name | Elizabeth Cain Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770954109 PECOS PAC ID: 8921308164 Enrollment ID: I20151119002727 |
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