Leo Clinic | |
54 Forest St Hartford CT 06105-3204 | |
(860) 249-0975 | |
Not Available |
Full Name | Leo Clinic |
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Speciality | Clinic/Center |
Location | 54 Forest St, Hartford, Connecticut |
Authorized Official Name and Position | Carlos Marrero (DIRECTOR) |
Authorized Official Contact | 8602490975 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leo Clinic Po Box 380322 East Hartford CT 06138-0322 Ph: (860) 249-0975 | Leo Clinic 54 Forest St Hartford CT 06105-3204 Ph: (860) 249-0975 |
NPI Number | 1356939656 |
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Provider Enumeration Date | 01/04/2021 |
Last Update Date | 05/18/2023 |
Medicare PECOS PAC ID | 5496114563 |
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Medicare Enrollment ID | O20230707000966 |
Identifier | Type | State | Issuer |
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1356939656 | NPI | - | NPPES |
Provider Name | Shaina E Barr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336628718 PECOS PAC ID: 7810247723 Enrollment ID: I20180913001028 |
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Trinity Health Of New England Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Saint Francis Medical Group Inc., Hartford, CT 06105 Phone: 860-714-1325 Fax: 860-714-8078 | |
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