Charlene Ashley Liao, MD | |
1152 Kings Highway Cutoff, Fairfield, CT 06824-5271 | |
(203) 256-5500 | |
(203) 255-0046 |
Full Name | Charlene Ashley Liao |
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Gender | Female |
Speciality | Family Medicine |
Location | 1152 Kings Highway Cutoff, Fairfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700414042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 75746 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
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Charlene Ashley Liao, MD 1152 Kings Highway Cutoff, Fairfield, CT 06824-5271 Ph: (203) 256-5500 | Charlene Ashley Liao, MD 1152 Kings Highway Cutoff, Fairfield, CT 06824-5271 Ph: (203) 256-5500 |
Veronica R Plasencia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Reef Rd, Room 203, Fairfield, CT 06824 Phone: 203-255-0215 | |
Kellie Watkins-colwell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Reef Rd, Room 203, Fairfield, CT 06824 Phone: 203-255-0215 Fax: 203-255-0046 | |
Dina Elnaggar, MD, MS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-382-5556 | |
Dr. Leslie Robin Miller, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 52 Beach Rd, Ste 102, Fairfield, CT 06824 Phone: 203-256-9905 Fax: 203-254-9848 | |
Dr. Larry E. Novik, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 325 Reef Rd, Suite 203, Fairfield, CT 06824 Phone: 203-255-0215 Fax: 203-255-0046 | |
Kristofer Nathaniel Tupper, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-337-2600 Fax: 203-337-2611 | |
Garry Boxer, Family Medicine Medicare: Medicare Enrolled Practice Location: 1055 Post Rd, Fairfield, CT 06824 Phone: 203-371-4895 |