Dr Lisa C Alonso, MD | |
400 Saybrook Rd, Suite 206, Middletown, CT 06457-4773 | |
(860) 344-0333 | |
(860) 344-9703 |
Full Name | Dr Lisa C Alonso |
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Gender | Female |
Speciality | Pediatrics |
Location | 400 Saybrook Rd, 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 |
---|---|---|---|
1093725970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 031608 (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 Lisa C Alonso, MD 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 Ph: (860) 284-5200 | Dr Lisa C Alonso, MD 400 Saybrook Rd, Suite 206, Middletown, CT 06457-4773 Ph: (860) 344-0333 |
Tina Rita Bafumi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-347-9471 | |
Stephanie Foster, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Saybrook Rd Ste 206, Middletown, CT 06457 Phone: 860-344-0333 | |
Dr. Brad A Jubelirer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 540 Saybrook Rd, Suite 100, Middletown, CT 06457 Phone: 860-347-6683 Fax: 860-343-5957 | |
Dr. Allison H Whitaker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 540 Saybrook Rd, Suite 100, Middletown, CT 06457 Phone: 860-347-6683 Fax: 860-343-5957 | |
Dr. Debra Ann Brown, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 River Rd, Middletown, CT 06457 Phone: 860-704-4045 | |
Dr. Brendon Lewis Graeber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 28 Crescent St, Middlesex Hospital, Middletown, CT 06457 Phone: 860-358-6000 |