New England Family Medical And Walk-in Center, Llc | |
52 Church St Putnam CT 06260-1872 | |
(860) 928-6044 | |
(860) 928-6046 |
Full Name | New England Family Medical And Walk-in Center, Llc |
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Speciality | Family Medicine |
Location | 52 Church St, Putnam, Connecticut |
Authorized Official Name and Position | Sundaramurthy Balachandran (BUSINESS CHIEF) |
Authorized Official Contact | 8609286044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New England Family Medical And Walk-in Center, Llc 52 Church St Putnam CT 06260-1872 Ph: (860) 928-6044 | New England Family Medical And Walk-in Center, Llc 52 Church St Putnam CT 06260-1872 Ph: (860) 928-6044 |
NPI Number | 1104978063 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 09/16/2016 |
Medicare PECOS PAC ID | 7315049335 |
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Medicare Enrollment ID | O20070222000189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104978063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 037442 (Connecticut) | Primary |
Provider Name | Sundaramurthy Balachandran |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477638963 PECOS PAC ID: 1254375116 Enrollment ID: I20050613000720 |
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