Organization
EILEEN C. COMIA, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN CRUZ COMIA MD (OWNER)
(860) 242-2200
Entity
Organization
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
—
—
363L00000X
Nurse Practitioner
001184
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001359050
—
CT
01
—
010035905CT06
ANTHEM
CT
01
—
C03656
MEDICARE PTAN
CT
Enumeration date
01/24/2007
Last updated
04/03/2015
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