| Internal Medicine & Pediatrics Llc | |
|
111 New Haven Ave Derby CT 06418-2197 | |
| (203) 736-9214 | |
| (203) 736-9172 |
| Full Name | Internal Medicine & Pediatrics Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 111 New Haven Ave, Derby, Connecticut |
| Authorized Official Name and Position | Robert Nelson Hyde (MEMBER) |
| Authorized Official Contact | 2037369214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Pediatrics Llc 111 New Haven Ave Derby CT 06418-2197 Ph: (203) 736-9214 | Internal Medicine & Pediatrics Llc 111 New Haven Ave Derby CT 06418-2197 Ph: (203) 736-9214 |
| NPI Number | 1013122993 |
|---|---|
| Provider Enumeration Date | 05/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335280395 |
|---|---|
| Medicare Enrollment ID | O20100113000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013122993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023888 (Connecticut) | Primary |
| 208000000X | Pediatrics | 023888 (Connecticut) | Primary |
| Provider Name | Robert Nelson Hyde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902011885 PECOS PAC ID: 0345381307 Enrollment ID: I20100113000176 |
Internacional Clinical Services & Behavior Health Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Iannotti Ln, Derby, CT 06418 Phone: 203-361-9099 | |
Griffin Faculty Physicians, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 67 Maple Ave, 2nd Floor, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 |