| Joshua Deslouches, | |
|
20 York St, New Haven, CT 06510-3220 | |
| (203) 688-4242 | |
| Not Available |
| Full Name | Joshua Deslouches |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 20 York St, New Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821672114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 328632 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Lakes/national Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114426772 PECOS PAC ID: 9234126244 Enrollment ID: O20180417000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Deslouches, 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 | Joshua Deslouches, 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 |
Sandra Seelig, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Charles Ryan Wira Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, Ynhh South Pavilion, Room 218, New Haven, CT 06510 Phone: 203-688-2222 Fax: 203-785-4580 | |
Lisa Tian-tian Zhang, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Mary S Bogucki, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519 Phone: 203-785-2140 Fax: 203-785-6414 | |
Dr. Daniel Seth Greenstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 464 Congress Ave, New Haven, CT 06519 Phone: 203-688-4242 | |
Mr. Jonathan Meldrum, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 464 Congress Ave, Suite #260, New Haven, CT 06519 Phone: 203-737-2644 | |
John Richard Deguardi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 518-698-7975 |