Dr Jeffrey Stuart Goldblatt, MD is a
Surgery physician based in Old Lyme, Connecticut. Dr Jeffrey Stuart Goldblatt is licensed to practice in Connecticut (license number 016369) and his current practice location is 4 Huntley Road, Sutie 1, Old Lyme, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 434-4073.
NPI number for Dr Jeffrey Stuart Goldblatt is 1366478158 and his current mailing address is 4 Huntley Rd, Suite 1, Old Lyme, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366478158.
Physician's Profile
Full Name | Dr Jeffrey Stuart Goldblatt |
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Gender | Male |
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Speciality | Surgery |
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Location | 4 Huntley Road, Old Lyme, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366478158
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 09/19/2013
Medical Identifiers
Medical identifiers for Dr Jeffrey Stuart Goldblatt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366478158 | NPI | - | NPPES |
P3645106 | Other | CT | OXFORD |
001163690 | Medicaid | CT | |
2590570 | Other | CT | CIGNA |
2V5496 | Other | CT | HEALTH NET |
65-1212930 | Other | CT | TAX ID |
719901J245 | Other | CT | CONNECTICARE |
010016369CT03 | Other | CT | ANTHEM BCBS |
3444674 | Other | CT | AETNA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 016369 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jeffrey Stuart Goldblatt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jeffrey Stuart Goldblatt, MD 4 Huntley Rd, Suite 1, Old Lyme, CT 06371-1449 Ph: (860) 434-4073 | Dr Jeffrey Stuart Goldblatt, MD 4 Huntley Road, Sutie 1, Old Lyme, CT 06371 Ph: (860) 434-4073 |
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