Value Based Long Term Care A Pc | |
5 Research Dr Ste 2 Shelton CT 06484-6288 | |
(203) 567-5243 | |
Not Available |
Full Name | Value Based Long Term Care A Pc |
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Speciality | Internal Medicine |
Location | 5 Research Dr Ste 2, Shelton, Connecticut |
Authorized Official Name and Position | David Chess (OWNER) |
Authorized Official Contact | 2034905869 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Value Based Long Term Care A Pc 5 Research Dr Ste 2 Shelton CT 06484-6288 Ph: (203) 567-5243 | Value Based Long Term Care A Pc 5 Research Dr Ste 2 Shelton CT 06484-6288 Ph: (203) 567-5243 |
NPI Number | 1922771633 |
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Provider Enumeration Date | 07/28/2021 |
Last Update Date | 07/28/2021 |
Medicare PECOS PAC ID | 4183027089 |
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Medicare Enrollment ID | O20210729003622 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922771633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | David M Chess |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376521773 PECOS PAC ID: 0749175404 Enrollment ID: I20180103001993 |
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