Ramirez Medical Practice Pllc | |
699 Cottage Grove Rd Bloomfield CT 06002-3059 | |
(860) 242-0034 | |
Not Available |
Full Name | Ramirez Medical Practice Pllc |
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Speciality | Internal Medicine |
Location | 699 Cottage Grove Rd, Bloomfield, Connecticut |
Authorized Official Name and Position | Gilberto E Ramirez (MD) |
Authorized Official Contact | 8602420034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ramirez Medical Practice Pllc 699 Cottage Grove Rd Bloomfield CT 06002-3059 Ph: (860) 242-0034 | Ramirez Medical Practice Pllc 699 Cottage Grove Rd Bloomfield CT 06002-3059 Ph: (860) 242-0034 |
NPI Number | 1720689128 |
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Provider Enumeration Date | 11/03/2020 |
Last Update Date | 11/03/2020 |
Medicare PECOS PAC ID | 4789099045 |
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Medicare Enrollment ID | O20210218001059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720689128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Gilberto E Ramirez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518981448 PECOS PAC ID: 8729079249 Enrollment ID: I20040521001077 |
Provider Name | Mattia C Brose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104365071 PECOS PAC ID: 6103102777 Enrollment ID: I20170413001569 |
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