| Murray I Wellner, Mdpc | |
|
10 Dale St West Hartford CT 06107-1815 | |
| (860) 521-9451 | |
| (860) 232-2793 |
| Full Name | Murray I Wellner, Mdpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Dale St, West Hartford, Connecticut |
| Authorized Official Name and Position | Murray Wellner (OWNER) |
| Authorized Official Contact | 8605219451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Murray I Wellner, Mdpc 10 Dale St West Hartford CT 06107-1815 Ph: (860) 521-9451 | Murray I Wellner, Mdpc 10 Dale St West Hartford CT 06107-1815 Ph: (860) 521-9451 |
| NPI Number | 1558632828 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 01/19/2012 |
| Medicare PECOS PAC ID | 9436316650 |
|---|---|
| Medicare Enrollment ID | O20120131000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558632828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 018806 (Connecticut) | Primary |
| Provider Name | Murray I Wellner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508887290 PECOS PAC ID: 0042477267 Enrollment ID: I20120131000307 |
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