| Quantum Innovative Health, Pllc | |
|
836 Farmington Ave Ste 221b West Hartford CT 06119-1505 | |
| (860) 969-3433 | |
| Not Available |
| Full Name | Quantum Innovative Health, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 836 Farmington Ave Ste 221b, West Hartford, Connecticut |
| Authorized Official Name and Position | Miriram Schwartz (OWNER) |
| Authorized Official Contact | 8609950432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quantum Innovative Health, Pllc 20 Stoneham Dr West Hartford CT 06117-2250 Ph: (860) 995-0432 | Quantum Innovative Health, Pllc 836 Farmington Ave Ste 221b West Hartford CT 06119-1505 Ph: (860) 969-3433 |
| NPI Number | 1356905566 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 04/24/2019 |
| Medicare PECOS PAC ID | 2769818392 |
|---|---|
| Medicare Enrollment ID | O20200130000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356905566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Miriam Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750369625 PECOS PAC ID: 6901822238 Enrollment ID: I20051017000556 |
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