| Richard Monticciolo Md And Marie Monticciolo Md Llp | |
|
2275 Silas Deane Hwy Rocky Hill CT 06067 | |
| (860) 257-7405 | |
| (860) 257-8788 |
| Full Name | Richard Monticciolo Md And Marie Monticciolo Md Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2275 Silas Deane Hwy, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Marie Hunazant Monticciolo (PARTNER) |
| Authorized Official Contact | 8602577405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Monticciolo Md And Marie Monticciolo Md Llp 2275 Silas Deane Hwy Rocky Hill CT 06067 Ph: (860) 257-7405 | Richard Monticciolo Md And Marie Monticciolo Md Llp 2275 Silas Deane Hwy Rocky Hill CT 06067 Ph: (860) 257-7405 |
| NPI Number | 1245296730 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 03/14/2010 |
| Medicare PECOS PAC ID | 5890989404 |
|---|---|
| Medicare Enrollment ID | O20101027001354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245296730 | NPI | - | NPPES |
| 004163010 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 028760 (Connecticut) | Primary |
| 207R00000X | Internal Medicine | 030751 (Connecticut) | Secondary |
| Provider Name | Marie H Monticciolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396707840 PECOS PAC ID: 8123212735 Enrollment ID: I20101027001477 |
| Provider Name | Richard Monticciolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790747970 PECOS PAC ID: 4587858196 Enrollment ID: I20101027001509 |
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