Thompson Medical Llc | |
415 Riverside Dr North Grosvenordale CT 06255-2165 | |
(860) 923-1190 | |
(860) 923-0134 |
Full Name | Thompson Medical Llc |
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Speciality | Family Medicine |
Location | 415 Riverside Dr, North Grosvenordale, Connecticut |
Authorized Official Name and Position | Lisa A Coderre (OFFICE MANAGER) |
Authorized Official Contact | 8609231181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thompson Medical Llc 415 Riverside Dr North Grosvenordale CT 06255-2165 Ph: (860) 923-1190 | Thompson Medical Llc 415 Riverside Dr North Grosvenordale CT 06255-2165 Ph: (860) 923-1190 |
NPI Number | 1750783619 |
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Provider Enumeration Date | 09/23/2014 |
Last Update Date | 08/17/2023 |
Medicare PECOS PAC ID | 2062739535 |
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Medicare Enrollment ID | O20150320000956 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750783619 | NPI | - | NPPES |
1364017 | Medicaid | CT | |
1366071 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36607; 36401 (Connecticut) | Primary |
Provider Name | Nita Chatterjee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164469854 PECOS PAC ID: 6305877499 Enrollment ID: I20101005001058 |
Provider Name | Arabinda Chatterjee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043278674 PECOS PAC ID: 3173719804 Enrollment ID: I20101120000131 |
Thompson Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Riverside Dr, Suite 1, North Grosvenordale, CT 06255 Phone: 860-923-1181 Fax: 860-923-1822 |