| Urgent Care Center Of Bloomfield Pllc | |
|
699 Cottage Grove Rd Bloomfield CT 06002-3059 | |
| (860) 242-0034 | |
| (860) 242-3301 |
| Full Name | Urgent Care Center Of Bloomfield Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 699 Cottage Grove Rd, Bloomfield, Connecticut |
| Authorized Official Name and Position | Enrique Gutierrez (DESIGNATED OFFICIAL) |
| Authorized Official Contact | 8602420034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Center Of Bloomfield Pllc 699 Cottage Grove Rd Bloomfield CT 06002-3059 Ph: (860) 242-0034 | Urgent Care Center Of Bloomfield Pllc 699 Cottage Grove Rd Bloomfield CT 06002-3059 Ph: (860) 242-0034 |
| NPI Number | 1588264659 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/28/2020 |
| Medicare PECOS PAC ID | 4981019973 |
|---|---|
| Medicare Enrollment ID | O20210225002095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588264659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gilberto E Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518981448 PECOS PAC ID: 8729079249 Enrollment ID: I20040521001077 |
| Provider Name | Srinivasulu Conjeevaram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780958058 PECOS PAC ID: 6103054655 Enrollment ID: I20150709000399 |
| Provider Name | Mattia C Brose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104365071 PECOS PAC ID: 6103102777 Enrollment ID: I20170413001569 |
David J Domenichini Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002 Phone: 860-561-1007 Fax: 860-561-1222 | |
Roy A. Kellerman, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Cottage Grove Rd Ste A110, Bloomfield, CT 06002 Phone: 860-243-5569 Fax: 860-243-2622 | |
Ellis Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Cottage Grove Rd, Suite A110, Bloomfield, CT 06002 Phone: 860-243-1864 | |
Joel M. Miller M.d. Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Northwestern Dr Ste 300, Bloomfield, CT 06002 Phone: 860-242-6633 Fax: 860-286-8411 | |
E Y Evans Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Cottage Grove Rd, Building C Suite 130, Bloomfield, CT 06002 Phone: 860-243-3352 Fax: 860-243-3329 | |
Charter Oak Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 693 Bloomfield Ave Ste 101, Bloomfield, CT 06002 Phone: 860-550-7500 Fax: 860-216-4164 |