Individual
DR. MAXIMILIAN GOMEZ-TROCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MAIN ST STE 201, WATERTOWN, CT 06795-2249
(860) 274-2418
(860) 274-2986
Mailing address
365 MAIN ST STE 201, WATERTOWN, CT 06795-2249
(860) 274-2418
(860) 274-2986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049979
CT
207R00000X
Internal Medicine Physician
49979
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05856125
GREAT WEST
CT
01
—
1154493
USA
CT
01
—
5856125
CIGNA
CT
01
—
717021/627772
WELLCARE
CT
01
—
P01040202
RAILROAD MEDICARE
CT
01
—
P4376817
OXFORD
CT
Enumeration date
06/23/2008
Last updated
04/29/2021
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