Healthcare Provider Details
I. General information
NPI: 1497535991
Provider Name (Legal Business Name): PEOPLES PULMONARY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2023
Last Update Date: 02/27/2024
Certification Date: 02/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
935 MAIN ST STE C104
MANCHESTER CT
06040-6059
US
IV. Provider business mailing address
211 PEMBROKE TER
GLASTONBURY CT
06033-2869
US
V. Phone/Fax
- Phone: 860-300-2999
- Fax: 860-699-1010
- Phone: 315-956-7180
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DILPREET
KAUR
Title or Position: OWNER
Credential: MBBS
Phone: 315-956-7180