Unknown Individual – Emergency Medicine Physician, NPI 1275519423
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Church of God New Testament Church, 64, Robbins Street, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States
WATERBURY, CT 067082613
Phone: (203) 573-6295
Fax: (203) 573-7613
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Family Practice | VA | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Emergency Medicine | CT | |
| - | FL | |
| Physician Assistant | NY |
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