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Contact Information

MAXIMILIAN GOMEZ TROCHEZ, MD
365 MAIN ST STE 201
WATERTOWN, CT06795-2249
 Phone: 860-274-2418
 Fax: 860-274-2986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAXIMILIAN GOMEZ TROCHEZ · (Male)

NPI # 1467613356
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2008
Last updated 04/29/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 049979
  • CT License # 49979
  • CT Other 5856125 CIGNA
  • CT Other 05856125 GREAT WEST
  • CT Other P4376817 OXFORD
  • CT Other P01040202 RAILROAD MEDICARE
  • CT Other 1154493 USA
  • CT Other 717021/627772 WELLCARE
Hospital affiliation(s)
  • SAINT MARYS HOSPITAL - (Acute Care)
    56 FRANKLIN ST
    WATERBURY, CT 06706
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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