Dr Larry E Novik, MD | |
325 Reef Rd, Suite 203, Fairfield, CT 06824-6537 | |
(203) 255-0215 | |
(203) 255-0046 |
Full Name | Dr Larry E Novik |
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Gender | Male |
Speciality | Family Medicine |
Location | 325 Reef Rd, Fairfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295794634 | NPI | - | NPPES |
001243906 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 024390 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
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Dr Larry E Novik, MD 325 Reef Rd, Suite 203, Fairfield, CT 06824-6537 Ph: (203) 255-0215 | Dr Larry E Novik, MD 325 Reef Rd, Suite 203, Fairfield, CT 06824-6537 Ph: (203) 255-0215 |
Veronica R Plasencia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Reef Rd, Room 203, Fairfield, CT 06824 Phone: 203-255-0215 | |
Kellie Watkins-colwell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Reef Rd, Room 203, Fairfield, CT 06824 Phone: 203-255-0215 Fax: 203-255-0046 | |
Dina Elnaggar, MD, MS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-382-5556 | |
Dr. Leslie Robin Miller, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 52 Beach Rd, Ste 102, Fairfield, CT 06824 Phone: 203-256-9905 Fax: 203-254-9848 | |
Kristofer Nathaniel Tupper, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-337-2600 Fax: 203-337-2611 | |
Garry Boxer, Family Medicine Medicare: Medicare Enrolled Practice Location: 1055 Post Rd, Fairfield, CT 06824 Phone: 203-371-4895 |