Dr Ian Limuel Elquiero Dimaandal, MD | |
80 S Main St Ste 101, Middletown, CT 06457-3648 | |
(860) 358-5970 | |
(860) 358-8690 |
Full Name | Dr Ian Limuel Elquiero Dimaandal |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 80 S Main St Ste 101, Middletown, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295222743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 72532 (Connecticut) | Primary |
Entity Name | Middlesex Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972563138 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000592 |
Mailing Address | Practice Location Address |
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Dr Ian Limuel Elquiero Dimaandal, MD 80 S Main St, Middletown, CT 06457-3648 Ph: (860) 358-5970 | Dr Ian Limuel Elquiero Dimaandal, MD 80 S Main St Ste 101, Middletown, CT 06457-3648 Ph: (860) 358-5970 |
Richard M. Ketai, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 103 S Main St, Middletown, CT 06457 Phone: 860-358-8760 Fax: 860-358-8754 | |
Dr. Carlos A Cardoso, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Silver Street, Connecticut Valley Hospital, Middletown, CT 06457 Phone: 860-262-5867 Fax: 860-262-5850 | |
Dr. Zachary Malcolm Lenane, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 70 Holmes Dr, Middletown, CT 06457 Phone: 860-262-5400 | |
Jeffrey H. Gottlieb, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-344-6760 Fax: 860-358-4829 | |
Paul Sadowitz, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 635 Main St, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-638-6601 | |
Dr. Emily A Laurenzano, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1250 Silver St, Middletown, CT 06457 Phone: 877-577-3233 | |
Ronald E Johnson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Connecticut Valley Hospital, Middletown, CT 06457 Phone: 860-262-5867 Fax: 860-262-5850 |