Imfp | |
2447 Whitney Ave Ste 2a Hamden CT 06518-3211 | |
(203) 230-5888 | |
(203) 230-5889 |
Full Name | Imfp |
---|---|
Speciality | Family Medicine |
Location | 2447 Whitney Ave Ste 2a, Hamden, Connecticut |
Authorized Official Name and Position | William Douglas Farmer (SENIOR PARTNER) |
Authorized Official Contact | 2032305888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Imfp 2447 Whitney Ave Ste 2a Hamden CT 06518-3211 Ph: (203) 230-5888 | Imfp 2447 Whitney Ave Ste 2a Hamden CT 06518-3211 Ph: (203) 230-5888 |
NPI Number | 1114250370 |
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Provider Enumeration Date | 09/04/2009 |
Last Update Date | 09/04/2009 |
Medicare PECOS PAC ID | 1355487059 |
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Medicare Enrollment ID | O20091012000055 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114250370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | William D Farmer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689660771 PECOS PAC ID: 5890686711 Enrollment ID: I20040322000861 |
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