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NPI Code Detail

MEDICARE: ARLEEN RITA SERGIS D.O.

MEDICARE: ARLEEN RITA SERGIS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician216079NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11467527374OTHERCTNPI

General Provider Information

NPI Number : 1467527374
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLEEN RITA SERGIS D.O.
Provider Business Mailing Address
First Line : 1776 BOSTON TPKE
Second Line :
City : COVENTRY
State : CT
Zip : 06238-1160
Country : US
Telephone Number : 860-742-7315
Fax Number : 860-742-7367
Provider Business Practice Location Address
First Line : 1776 BOSTON TPKE
Second Line :
City : COVENTRY
State : CT
Zip : 06238-1160
Country : US
Telephone Number : 860-742-7315
Fax Number : 860-742-7367
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2006
Last Update Date : 12/09/2009

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Directions to “ ARLEEN RITA SERGIS D.O.” Practice Location

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