Dr Thomas E Staley, MD | |
116 E Center St, Suite 19, Manchester, CT 06040-5215 | |
(860) 643-2731 | |
(860) 643-6707 |
Full Name | Dr Thomas E Staley |
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Gender | Male |
Speciality | Urology |
Location | 116 E Center St, Manchester, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386612182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 24571 (Connecticut) | Primary |
Entity Name | Hartford Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas E Staley, MD 116 E Center St, Suite 19, Manchester, CT 06040-5215 Ph: (860) 643-2731 | Dr Thomas E Staley, MD 116 E Center St, Suite 19, Manchester, CT 06040-5215 Ph: (860) 643-2731 |
Dr. David Jeremy Rosenberg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 116 E Center St, Suite 19, Manchester, CT 06040 Phone: 860-643-2731 | |
Dr. Anthony Distefano, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 116 E Center St, Suite 19, Manchester, CT 06040 Phone: 860-643-2731 Fax: 860-643-6707 | |
Dr. John James Griffith, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Tolland Tpke, Manchester, CT 06042 Phone: 860-643-2731 | |
Dr. Arthur E. Lamontagne Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 116 E Center St, Manchester, CT 06040 Phone: 860-643-2731 Fax: 860-643-6707 |