Personal Care Associates Llc | |
45 S Main St Suite 203 West Hartford CT 06107-2441 | |
(860) 523-8278 | |
Not Available |
Full Name | Personal Care Associates Llc |
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Speciality | Internal Medicine |
Location | 45 S Main St, West Hartford, Connecticut |
Authorized Official Name and Position | Paul A Guardino (PARTNER) |
Authorized Official Contact | 8605238278 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Personal Care Associates Llc 45 S Main St Suite 203 West Hartford CT 06107-2441 Ph: (860) 523-8278 | Personal Care Associates Llc 45 S Main St Suite 203 West Hartford CT 06107-2441 Ph: (860) 523-8278 |
NPI Number | 1558548867 |
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Provider Enumeration Date | 01/29/2008 |
Last Update Date | 12/03/2012 |
Medicare PECOS PAC ID | 6002841947 |
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Medicare Enrollment ID | O20050929000645 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558548867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Paul A Guardino |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174531172 PECOS PAC ID: 1456386390 Enrollment ID: I20050930000269 |
Provider Name | Genevieve Montagu Von Walstrom |
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Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1962797696 PECOS PAC ID: 8022378991 Enrollment ID: I20180214001840 |
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