Unknown Individual – Psychiatry Physician, NPI 1679524136
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
21, Waterville Road, Alsop Corner, Avon, Hartford County, Connecticut, 06001, United States
AVON, CT 060012097
Phone: (860) 674-2691
Fax: (860) 677-6443
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 06001)
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