| Trumbull Medical Practice | |
|
115 Technology Dr A303 Trumbull CT 06611-6337 | |
| (203) 268-4884 | |
| (203) 268-9371 |
| Full Name | Trumbull Medical Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 Technology Dr, Trumbull, Connecticut |
| Authorized Official Name and Position | John A Flores (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2032684884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trumbull Medical Practice 115 Technology Dr A303 Trumbull CT 06611-6337 Ph: (203) 268-4884 | Trumbull Medical Practice 115 Technology Dr A303 Trumbull CT 06611-6337 Ph: (203) 268-4884 |
| NPI Number | 1568594554 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568594554 | NPI | - | NPPES |
| 010038698CT01 | Other | CT | BCBS |
| OV7401 | Other | CT | HEALTHNET |
| 1541597 | Other | CIGNA | |
| 2338437 | Other | CT | AETNA |
| 00138698111 | Medicaid | CT | |
| 745874 | Other | CT | CONNECTICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 038698 (Connecticut) | Primary |
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