Jonathan H. Tress M.d. Llc | |
100 Retreat Ave Suite 200 Hartford CT 06106-2528 | |
(860) 548-9293 | |
(860) 548-9933 |
Full Name | Jonathan H. Tress M.d. Llc |
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Speciality | Internal Medicine |
Location | 100 Retreat Ave, Hartford, Connecticut |
Authorized Official Name and Position | Jonathan Harold Tress (OWNER) |
Authorized Official Contact | 8605489293 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jonathan H. Tress M.d. Llc 100 Retreat Ave Suite 200 Hartford CT 06106-2528 Ph: (860) 548-9293 | Jonathan H. Tress M.d. Llc 100 Retreat Ave Suite 200 Hartford CT 06106-2528 Ph: (860) 548-9293 |
NPI Number | 1851587034 |
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Provider Enumeration Date | 09/20/2007 |
Last Update Date | 09/20/2007 |
Medicare PECOS PAC ID | 3678567559 |
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Medicare Enrollment ID | O20040413001048 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851587034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 26116 (Connecticut) | Primary |
Provider Name | Jonathan H Tress |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1013016187 PECOS PAC ID: 2365436243 Enrollment ID: I20040413001262 |
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