Jacob Hen Jr, MD | |
5520 Park Ave, Nemg, Trumbull, CT 06611-3463 | |
(203) 337-8600 | |
(203) 372-0109 |
Full Name | Jacob Hen Jr |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Pulmonology |
Location | 5520 Park Ave, Trumbull, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992774384 | NPI | - | NPPES |
001207100 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0214X | Pediatrics - Pediatric Pulmonology | 020710 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
---|---|
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 |
---|---|
Jacob Hen Jr, MD 5520 Park Ave, Trumbull, CT 06611 Ph: (203) 337-8600 | Jacob Hen Jr, MD 5520 Park Ave, Nemg, Trumbull, CT 06611-3463 Ph: (203) 337-8600 |
Dr. David Bonheim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 132 Monroe Tpke, Trumbull, CT 06611 Phone: 203-268-1766 Fax: 203-268-0787 | |
Dr. Judith K Hochstadt, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Corporate Dr, Trumbull, CT 06611 Phone: 203-452-8322 Fax: 203-452-2296 | |
Dr. Patricia O'shea Eagan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Corporate Dr, Trumbull, CT 06611 Phone: 203-452-8322 Fax: 203-452-2296 | |
Dr. Jay Esposito, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 888 White Plains Rd, Suite 214, Trumbull, CT 06611 Phone: 203-268-1600 Fax: 203-268-3320 | |
Kee Hung Hau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Hawley Ln, Ste 205, Trumbull, CT 06611 Phone: 203-377-8332 Fax: 203-385-3832 | |
Dr. Amit Vasant Kamath, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 132 Monroe Tpke, Trumbull, CT 06611 Phone: 203-268-1766 Fax: 203-268-0787 | |
Dr. Kathryn A Baker, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4141 Madison Ave, Trumbull, CT 06611 Phone: 203-371-8790 Fax: 203-373-0463 |