Laurence A Sibrack, MD | |
170 Mount Pleasant Rd Ste 201, Newtown, CT 06470-1408 | |
(203) 792-4151 | |
(203) 792-4155 |
Full Name | Laurence A Sibrack |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 170 Mount Pleasant Rd Ste 201, Newtown, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396740643 | NPI | - | NPPES |
001175397 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 017539 (Connecticut) | Primary |
Entity Name | Dermatology Associates Of Western Connecticut, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306851050 PECOS PAC ID: 6507804671 Enrollment ID: O20050419001356 |
Mailing Address | Practice Location Address |
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Laurence A Sibrack, MD 170 Mount Pleasant Rd, Ste 201, Newtown, CT 06470-1408 Ph: (203) 792-4151 | Laurence A Sibrack, MD 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470-1408 Ph: (203) 792-4151 |
Dr. Kimberly May Eickhorst, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470 Phone: 203-792-4151 Fax: 203-792-4155 | |
Beth A Buscher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470 Phone: 203-792-4151 Fax: 203-792-4155 | |
Joel Brook, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 139 Toddy Hill Road, Masonicare At Newtown, Newtown, CT 06470 Phone: 203-364-3258 Fax: 203-364-3223 | |
Jeffrey D Knispel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 170 Mount Pleasant Rd Ste 201, Newtown, CT 06470 Phone: 203-792-4151 Fax: 203-792-4155 |