| Jeffrey H Gimbel Md Llc | |
|
50 S Main St Wallingford CT 06492-4219 | |
| (203) 269-9400 | |
| (203) 269-9455 |
| Full Name | Jeffrey H Gimbel Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 S Main St, Wallingford, Connecticut |
| Authorized Official Name and Position | Jeffrey H Gimbel (PRESIDENT) |
| Authorized Official Contact | 2032699400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey H Gimbel Md Llc Po Box 864 Wallingford CT 06492-0864 Ph: (203) 269-9400 | Jeffrey H Gimbel Md Llc 50 S Main St Wallingford CT 06492-4219 Ph: (203) 269-9400 |
| NPI Number | 1811219801 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 10/15/2010 |
| Medicare PECOS PAC ID | 3971628819 |
|---|---|
| Medicare Enrollment ID | O20100915000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811219801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 037053 (Connecticut) | Primary |
| Provider Name | Jeffrey H Gimbel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861436735 PECOS PAC ID: 7719002757 Enrollment ID: I20100915000344 |
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