Dr Genevieve Montagu Von Walstrom, MD, MPH | |
501 Farmington Ave, Farmington, CT 06032-1901 | |
(860) 674-4334 | |
Not Available |
Full Name | Dr Genevieve Montagu Von Walstrom |
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Gender | Female |
Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
Location | 501 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 |
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1962797696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 57243 (Connecticut) | Primary |
Entity Name | Personal Care Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558548867 PECOS PAC ID: 6002841947 Enrollment ID: O20050929000645 |
Mailing Address | Practice Location Address |
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Dr Genevieve Montagu Von Walstrom, MD, MPH 501 Farmington Ave, Farmington, CT 06032-1901 Ph: (860) 674-4334 | Dr Genevieve Montagu Von Walstrom, MD, MPH 501 Farmington Ave, Farmington, CT 06032-1901 Ph: (860) 674-4334 |
Timothy A. Ledean, DO Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4992 Fax: 860-679-3334 | |
Martin G Cherniack, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2893 Fax: 860-679-4587 | |
Kenneth Dangman, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2893 | |
Nauman Jameel Mufti, MD, MPH Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Bridgewater Rd, Suite 100, Farmington, CT 06032 Phone: 860-678-9900 Fax: 860-678-9901 |