Brendan Gontarz, MD | |
263 Farmington Ave, Farmington, CT 06030-0001 | |
(860) 679-3467 | |
(860) 679-1460 |
Full Name | Brendan Gontarz |
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Gender | Male |
Speciality | Surgery |
Location | 263 Farmington Ave, Farmington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023471273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 75034 (Connecticut) | Primary |
Entity Name | University Of Connecticut Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
Entity Name | The Hospital Of Central Connecticut At New Britain General And Bradley |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461481 PECOS PAC ID: 6507776564 Enrollment ID: O20040115000497 |
Entity Name | The William W Backus Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
Mailing Address | Practice Location Address |
---|---|
Brendan Gontarz, MD 1290 Silas Deane Hwy, Wethersfield, CT 06109-4337 Ph: (860) 972-9093 | Brendan Gontarz, MD 263 Farmington Ave, Farmington, CT 06030-0001 Ph: (860) 679-3467 |
Zachary Tallent Solomon, Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3467 | |
Jeffery Spiro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 | |
Dr. Jeffrey Erwin Indes, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-8080 Fax: 860-679-1420 | |
Dr. David W Mcfadden, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, General Surgery, Farmington, CT 06030 Phone: 860-679-8080 Fax: 860-679-1420 | |
Peter Deckers, Surgery Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 | |
Dr. Jillian Lea Fortier, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Residency Administration- Ag093, Farmington, CT 06030 Phone: 860-679-2147 |