| Nicholas J. Palermo Do, Pc | |
|
257 East Center Street Manchester CT 06040 | |
| (860) 645-3927 | |
| (860) 643-2531 |
| Full Name | Nicholas J. Palermo Do, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 257 East Center Street, Manchester, Connecticut |
| Authorized Official Name and Position | Nicholas Joseph Palermo (PRESIDENT) |
| Authorized Official Contact | 8606453927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas J. Palermo Do, Pc 49 Erie St Manchester CT 06040 Ph: (860) 645-3927 | Nicholas J. Palermo Do, Pc 257 East Center Street Manchester CT 06040 Ph: (860) 645-3927 |
| NPI Number | 1497940431 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Medicare PECOS PAC ID | 2365479649 |
|---|---|
| Medicare Enrollment ID | O20050719000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497940431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicholas J Palermo |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1366419632 PECOS PAC ID: 9739125634 Enrollment ID: I20050630000657 |
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