| Jorge Dabdoub Md Internal Medicine Llc | |
|
12 Case St Suite 104 Norwich CT 06360-2222 | |
| (860) 889-4476 | |
| (860) 889-6452 |
| Full Name | Jorge Dabdoub Md Internal Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12 Case St, Norwich, Connecticut |
| Authorized Official Name and Position | Jorge A Dabdoub (OWNER) |
| Authorized Official Contact | 8608894476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Dabdoub Md Internal Medicine Llc 12 Case St Suite 104 Norwich CT 06360-2222 Ph: (860) 889-4476 | Jorge Dabdoub Md Internal Medicine Llc 12 Case St Suite 104 Norwich CT 06360-2222 Ph: (860) 889-4476 |
| NPI Number | 1609985654 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609985654 | NPI | - | NPPES |
| 1335787 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 033578 (Connecticut) | Primary |
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