West Hartford Internal Medicine, Llc | |
1007 Farmington Ave S;uite 9 West Hartford CT 06107-2133 | |
(860) 586-7825 | |
(860) 586-7827 |
Full Name | West Hartford Internal Medicine, Llc |
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Speciality | Internal Medicine |
Location | 1007 Farmington Ave, West Hartford, Connecticut |
Authorized Official Name and Position | Varalakshmi Venkatachalam (OWNER) |
Authorized Official Contact | 8605867825 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Hartford Internal Medicine, Llc 1007 Farmington Ave S;uite 9 West Hartford CT 06107-2133 Ph: (860) 586-7825 | West Hartford Internal Medicine, Llc 1007 Farmington Ave S;uite 9 West Hartford CT 06107-2133 Ph: (860) 586-7825 |
NPI Number | 1598070401 |
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Provider Enumeration Date | 08/16/2010 |
Last Update Date | 08/16/2010 |
Identifier | Type | State | Issuer |
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1598070401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 041070 (Connecticut) | Primary |
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