Heather Collette, MD | |
365 Montauk Ave, New London, CT 06320-4700 | |
(860) 442-0711 | |
Not Available |
Full Name | Heather Collette |
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Gender | Female |
Speciality | Pediatrics |
Location | 365 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1902163116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 55103 (Connecticut) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Entity Name | Bridgeport Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649260845 PECOS PAC ID: 2062312598 Enrollment ID: O20040120000425 |
Mailing Address | Practice Location Address |
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Heather Collette, MD 330 Cedar St, Llci 305, New Haven, CT 06510-3218 Ph: (203) 785-6332 | Heather Collette, MD 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 |
Dr. Amr Ahmed Elmeki, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-422-0711 | |
James William Pellegrini, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-5151 | |
Brett V Citarella, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-4740 | |
Dr. Bonnie Suzanne Mackenzie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Owen Ehrlich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 | |
Bernard A. Giserman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 | |
Ruth M. Lebovitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 |