In-house Md, Llc. | |
400 Mill Plain Rd Fairfield CT 06824-5048 | |
(203) 255-3573 | |
(203) 255-3575 |
Full Name | In-house Md, Llc. |
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Speciality | General Practice |
Location | 400 Mill Plain Rd, Fairfield, Connecticut |
Authorized Official Name and Position | Carmen A Tortora (MANAGER) |
Authorized Official Contact | 2032553573 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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In-house Md, Llc. 400 Mill Plain Rd Fairfield CT 06824-5048 Ph: (203) 255-3573 | In-house Md, Llc. 400 Mill Plain Rd Fairfield CT 06824-5048 Ph: (203) 255-3573 |
NPI Number | 1578990420 |
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Provider Enumeration Date | 10/07/2013 |
Last Update Date | 10/07/2013 |
Medicare PECOS PAC ID | 8022334267 |
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Medicare Enrollment ID | O20150305000347 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578990420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Stuart Miller |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1801855101 PECOS PAC ID: 7012076193 Enrollment ID: I20090130000024 |
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