Dr Kasia Koziol-dube, MD | |
4 Farm Springs Rd, Farmington, CT 06032-2573 | |
(860) 284-5200 | |
(860) 284-5333 |
Full Name | Dr Kasia Koziol-dube |
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Gender | Female |
Speciality | Pediatrics |
Location | 4 Farm Springs Rd, 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 |
---|---|---|---|
1801024302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 051141 (Connecticut) | Primary |
Entity Name | Prohealth Physicians Pc |
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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 Kasia Koziol-dube, MD 1062 Barnes Rd, Wallingford, CT 06492-6012 Ph: (203) 294-6328 | Dr Kasia Koziol-dube, MD 4 Farm Springs Rd, Farmington, CT 06032-2573 Ph: (860) 284-5200 |
Dr. Alyssa S Bennett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 599 Farmington Ave, Farmington, CT 06032 Phone: 860-837-7681 Fax: 860-837-5361 | |
Deepa Limaye, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Mountain Rd, Farmington, CT 06032 Phone: 860-676-9000 Fax: 860-676-1541 | |
David W Sink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Department Of Pediatrics, Farmington, CT 06030 Phone: 860-679-3105 Fax: 860-679-1403 | |
Naveed Hussain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3105 Fax: 860-679-1403 | |
Angela R Verardo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Farmington Ave, Farmington, CT 06032 Phone: 860-837-6700 Fax: 860-837-6765 | |
Karen Loechner, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Farmington Ave, Farmington, CT 06032 Phone: 860-837-6700 Fax: 860-837-6765 | |
Imran A. Hafeez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 399 Farmington Ave, Farmington, CT 06032 Phone: 860-284-0220 |