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NPI Code Detail

MEDICARE: HAMDEN MEDICAL LLC

MEDICARE: HAMDEN MEDICAL LLC
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1548920457
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMDEN MEDICAL LLC
Provider Business Mailing Address
First Line : 2337 WHITNEY AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3539
Country : US
Telephone Number : 203-248-8142
Fax Number : 203-248-7764
Provider Business Practice Location Address
First Line : 2337 WHITNEY AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3539
Country : US
Telephone Number : 203-248-8142
Fax Number : 203-248-7764
Authorized Official
Title or Position : CEO
Name : LOUIS TELESFORD
Credential : M.D.
Telephone Number : 203-248-8142
Provider Enumeration Date : 12/20/2021
Last Update Date : 12/20/2021

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Directions to “HAMDEN MEDICAL LLC ” Practice Location

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