Ellis Medical Center, Llc - Primary Care in Bloomfield, CT

Ellis Medical Center, Llc is a primary clinic (Clinic/center - Primary Care) in Bloomfield, Connecticut. The current practice location for Ellis Medical Center, Llc is 701 Cottage Grove Rd, Suite A110, Bloomfield, Connecticut. For appointments, you can reach them via phone at (860) 243-1864. The mailing address for Ellis Medical Center, Llc is 701 Cottage Grove Rd, Suite A110, Bloomfield, Connecticut and phone number is (860) 243-1864.

Ellis Medical Center, Llc is licensed to practice in Connecticut (license number 041803) and its NPI number is 1346484672. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (860) 243-1864.

Contact Information

Ellis Medical Center, Llc
701 Cottage Grove Rd
Suite A110
Bloomfield
CT 06002-3080
(860) 243-1864
Not Available

Primary Care Clinic Profile

Full NameEllis Medical Center, Llc
SpecialityClinic/center - Primary Care
Location701 Cottage Grove Rd, Bloomfield, Connecticut
Authorized Official Name and PositionLenworth Ellis (MANAGING MEMBER)
Authorized Official Contact8602431864
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellis Medical Center, Llc
701 Cottage Grove Rd
Suite A110
Bloomfield
CT 06002-3080

Ph: (860) 243-1864
Ellis Medical Center, Llc
701 Cottage Grove Rd
Suite A110
Bloomfield
CT 06002-3080

Ph: (860) 243-1864

NPI Details:

NPI Number1346484672
Provider Enumeration Date04/30/2009
Last Update Date04/30/2009

Medical Identifiers

Medical identifiers for Ellis Medical Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346484672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 041803 (Connecticut)Primary

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Clinic/Center in Bloomfield, CT

David J Domenichini Md, Pc
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Medicare: Medicare Enrolled
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Phone: 860-561-1007    Fax: 860-561-1222
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Phone: 860-242-0034    Fax: 860-242-3301

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