| Newington Internal Medicine Primary Care,llp | |
|
365 Willard Ave Suite 2-d Newington CT 06111-2373 | |
| (860) 665-1571 | |
| (860) 665-1571 |
| Full Name | Newington Internal Medicine Primary Care,llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 365 Willard Ave, Newington, Connecticut |
| Authorized Official Name and Position | Jeffrey Mark Kagan (MANAGING PARTNER) |
| Authorized Official Contact | 8606651571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newington Internal Medicine Primary Care,llp 365 Willard Ave Suite 2-d Newington CT 06111-2373 Ph: (860) 665-1571 | Newington Internal Medicine Primary Care,llp 365 Willard Ave Suite 2-d Newington CT 06111-2373 Ph: (860) 665-1571 |
| NPI Number | 1588634695 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 11/04/2009 |
| Medicare PECOS PAC ID | 5193742385 |
|---|---|
| Medicare Enrollment ID | O20051027000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588634695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stacie L Zibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457321564 PECOS PAC ID: 2466596580 Enrollment ID: I20100212000356 |
| Provider Name | Turgut Yetil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326018425 PECOS PAC ID: 2466595541 Enrollment ID: I20100212000368 |
| Provider Name | Jeffrey M Kagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003886193 PECOS PAC ID: 1850318049 Enrollment ID: I20100212000391 |
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