Bruce G Freeman, MD | |
1110 Durham Rd, Madison, CT 06443-1858 | |
(203) 421-3600 | |
(203) 421-3627 |
Full Name | Bruce G Freeman |
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Gender | Male |
Speciality | Pediatrics - Adolescent Medicine |
Location | 1110 Durham Rd, Madison, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467432252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 035122 (Connecticut) | Primary |
Entity Name | Prohealth Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
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Bruce G Freeman, MD 1110 Durham Rd, Madison, CT 06443-1858 Ph: (203) 421-3600 | Bruce G Freeman, MD 1110 Durham Rd, Madison, CT 06443-1858 Ph: (203) 421-3600 |
Dia B Flanagan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Wall St, Madison, CT 06443 Phone: 203-245-7341 Fax: 203-245-0530 | |
Dr. John Vincent Federico, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 94 Five Fields Rd, Madison, CT 06443 Phone: 203-245-2227 Fax: 203-245-2227 | |
Erin S. Springhorn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1110 Durham Rd, Madison, CT 06443 Phone: 203-421-3600 Fax: 203-421-3627 | |
Karen Y Goldberg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 Durham Rd, Madison, CT 06443 Phone: 203-421-3600 Fax: 203-421-3627 | |
Dr. Lisa Berlin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16 Hampshire Road, Madison, CT 06443 Phone: 203-245-1865 | |
Kaitlin C Quallen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 Durham Rd, Madison, CT 06443 Phone: 203-421-3600 |