Thourya Haoues-brown Md Llc | |
246 Federal Rd Unit C32 Brookfield CT 06804-2647 | |
(203) 740-9099 | |
(203) 740-9097 |
Full Name | Thourya Haoues-brown Md Llc |
---|---|
Speciality | Internal Medicine |
Location | 246 Federal Rd, Brookfield, Connecticut |
Authorized Official Name and Position | Thourya Haoues-brown (PRESIDENT/SOLE MEMBER) |
Authorized Official Contact | 2307409099 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Thourya Haoues-brown Md Llc 246 Federal Rd Unit C32 Brookfield CT 06804-2647 Ph: (203) 740-9099 | Thourya Haoues-brown Md Llc 246 Federal Rd Unit C32 Brookfield CT 06804-2647 Ph: (203) 740-9099 |
NPI Number | 1003091950 |
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Provider Enumeration Date | 01/09/2008 |
Last Update Date | 01/09/2008 |
Medicare PECOS PAC ID | 5092746230 |
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Medicare Enrollment ID | O20050826000490 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003091950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 038144 (Connecticut) | Primary |
Provider Name | Thourya Haoues-brown |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114085016 PECOS PAC ID: 5991736134 Enrollment ID: I20050829000016 |
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