Dr Candra Smith-slatas, MD | |
1331 Silas Deane Hwy, Wethersfield, CT 06109-4346 | |
(860) 529-9933 | |
(860) 529-7156 |
Full Name | Dr Candra Smith-slatas |
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Gender | Female |
Speciality | Pediatrics |
Location | 1331 Silas Deane Hwy, Wethersfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871504712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 041450 (Connecticut) | Primary |
Entity Name | Staywell Health Care Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374 |
Entity Name | Prohealth Physicians Pc |
---|---|
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 |
---|---|
Dr Candra Smith-slatas, MD 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 Ph: (860) 284-5200 | Dr Candra Smith-slatas, MD 1331 Silas Deane Hwy, Wethersfield, CT 06109-4346 Ph: (860) 529-9933 |
Robin P Renfroe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1331 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-529-9933 Fax: 860-529-7156 | |
Dr. Sherry Banack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1331 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-529-9933 Fax: 860-529-7156 |