Southeastern Ct Primary Care, Llc | |
10 Liberty Way Unit B10 Niantic CT 06357-1033 | |
(860) 691-8084 | |
(860) 691-1195 |
Full Name | Southeastern Ct Primary Care, Llc |
---|---|
Speciality | Clinic/Center |
Location | 10 Liberty Way Unit B10, Niantic, Connecticut |
Authorized Official Name and Position | Rosalinda G Gaona (PHYSICIAN) |
Authorized Official Contact | 8606918084 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Southeastern Ct Primary Care, Llc 10 Liberty Way Unit B10 Niantic CT 06357-1033 Ph: (860) 691-8084 | Southeastern Ct Primary Care, Llc 10 Liberty Way Unit B10 Niantic CT 06357-1033 Ph: (860) 691-8084 |
NPI Number | 1134591696 |
---|---|
Provider Enumeration Date | 10/23/2015 |
Last Update Date | 02/05/2016 |
Medicare PECOS PAC ID | 5395047823 |
---|---|
Medicare Enrollment ID | O20151230000848 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134591696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Rosalinda G Gaona |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508879685 PECOS PAC ID: 0941295042 Enrollment ID: I20040419000112 |
Guardian Health Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 Flanders Rd, Niantic, CT 06357 Phone: 860-949-3040 | |
East Lyme Pediatric Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Flanders Rd, Niantic, CT 06357 Phone: 860-739-7444 Fax: 860-739-3252 | |
David D Thompson Jr & Robert A Linden Ptr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 W Main St, Niantic, CT 06357 Phone: 860-739-4431 Fax: 860-739-9461 |