Dr Edward Halstead, MD | |
130 Division St, Derby, CT 06418-1326 | |
(203) 732-7403 | |
(203) 732-7177 |
Full Name | Dr Edward Halstead |
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Gender | Male |
Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 130 Division St, Derby, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316967649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 019479 (Connecticut) | Primary |
Entity Name | The Griffin Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184639973 PECOS PAC ID: 8921901984 Enrollment ID: O20040128000937 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Halstead, MD 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7403 | Dr Edward Halstead, MD 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7403 |
Dr. Benjamin Joshua Zigun, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 248 Seymour Ave, Griffin Hospital, Derby, CT 06418 Phone: 203-732-7550 Fax: 203-732-1550 | |
Dr. Raina Sotsky, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 30 Elizabeth St, Derby, CT 06418 Phone: 203-954-0543 | |
Dr. Joseph Blaise Guarnaccia, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 350 Seymour Ave # 1c, Derby, CT 06418 Phone: 203-732-1290 Fax: 203-732-1299 | |
Dr. Gordon Kuster, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7403 Fax: 203-732-7177 | |
Mihaela Boran, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-735-7421 | |
Dr. Michael Jay Lustick, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 30 Elizabeth St, Derby, CT 06418 Phone: 203-954-0543 |