| Mount Moriah Medical Center, Llc | |
|
435 Montauk Ave New London CT 06320-4621 | |
| (860) 444-7400 | |
| (860) 444-7401 |
| Full Name | Mount Moriah Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 435 Montauk Ave, New London, Connecticut |
| Authorized Official Name and Position | Harold Phillips (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8604602183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Moriah Medical Center, Llc 196 Parkway S Suite 304 Waterford CT 06385-1219 Ph: (860) 442-7027 | Mount Moriah Medical Center, Llc 435 Montauk Ave New London CT 06320-4621 Ph: (860) 444-7400 |
| NPI Number | 1558308445 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558308445 | NPI | - | NPPES |
| CH6914 | Other | CT | RAILD ROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Shaw St, New London, CT 06320 Phone: 860-442-1798 | |
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Child And Family Agency Of Southeastern Connecticut, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7 Vauxhall St, New London, CT 06320 Phone: 860-442-2797 Fax: 860-701-3776 | |
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