Leslie E Sude, MD | |
105 Wall St, Madison, CT 06443 | |
(203) 245-7341 | |
(203) 245-0530 |
Full Name | Leslie E Sude |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 105 Wall St, Madison, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902964406 | NPI | - | NPPES |
004239118 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 043683 (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 |
Mailing Address | Practice Location Address |
---|---|
Leslie E Sude, MD 2080 Whitney Ave, Hamden, CT 06518-3600 Ph: (203) 789-3434 | Leslie E Sude, MD 105 Wall St, Madison, CT 06443 Ph: (203) 245-7341 |
Dia B Flanagan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 Wall St, Madison, CT 06443 Phone: 203-245-7341 Fax: 203-245-0530 | |
Dr. John Vincent Federico, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 94 Five Fields Rd, Madison, CT 06443 Phone: 203-245-2227 Fax: 203-245-2227 | |
Erin S. Springhorn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1110 Durham Rd, Madison, CT 06443 Phone: 203-421-3600 Fax: 203-421-3627 | |
Karen Y Goldberg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 Durham Rd, Madison, CT 06443 Phone: 203-421-3600 Fax: 203-421-3627 | |
Bruce G Freeman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 Durham Rd, Madison, CT 06443 Phone: 203-421-3600 Fax: 203-421-3627 | |
Dr. Lisa Berlin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16 Hampshire Road, Madison, CT 06443 Phone: 203-245-1865 | |
Kaitlin C Quallen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 Durham Rd, Madison, CT 06443 Phone: 203-421-3600 |