| New Canaan Internal Medicine Llc | |
|
173 East Avenue New Canaan CT 06840 | |
| (203) 972-4255 | |
| (203) 972-6345 |
| Full Name | New Canaan Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 173 East Avenue, New Canaan, Connecticut |
| Authorized Official Name and Position | Peter G Hasapis (MEMBER) |
| Authorized Official Contact | 2039724255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Canaan Internal Medicine Llc 173 East Avenue New Canaan CT 06840 Ph: (203) 972-4255 | New Canaan Internal Medicine Llc 173 East Avenue New Canaan CT 06840 Ph: (203) 972-4255 |
| NPI Number | 1265593990 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265593990 | NPI | - | NPPES |
| 0002021666 | Other | UNITED HEALTH CARE | |
| 3387592 | Other | CIGNA | |
| 010038777CT02 | Other | ANTHEM BC BS | |
| 7610180 | Other | AETNA | |
| P2068445 | Other | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 03877 (Connecticut) | Primary |
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