Individual
EILEEN C COMIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 JOLLEY DR, SUITE 102, BLOOMFIELD, CT 06002-3062
(860) 242-2200
(860) 242-2212
Mailing address
35 JOLLEY DR, SUITE 102, BLOOMFIELD, CT 06002-3062
(860) 242-2200
(860) 242-2212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035905
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001359050
—
CT
01
—
010035905CT04
BLUE CROSS BLUE SHIELD
CT
01
—
7777840121
CONNECTICARE
CT
Enumeration date
09/11/2006
Last updated
07/23/2013
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