Marie Anjeliese Rodriguez, | |
20 York St, New Haven, CT 06510-3220 | |
(203) 688-4242 | |
Not Available |
Full Name | Marie Anjeliese Rodriguez |
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Gender | Female |
Speciality | Internal 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 |
---|---|---|---|
1003420977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125076921 (Illinois) | Secondary |
207R00000X | Internal Medicine | 73296 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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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 |
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Marie Anjeliese Rodriguez, 1901 W Harrison St, Chicago, IL 60612-3714 Ph: (312) 864-6000 | Marie Anjeliese Rodriguez, 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 |
Dr. Brian Christopher Cambi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Cedar St, Dcb 3, New Haven, CT 06510 Phone: 203-785-4129 Fax: 203-737-2437 | |
Ms. Maryam Gondal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Cedar Street, Bb 114, New Haven, CT 06510 Phone: 203-785-4184 | |
Matthew Joseph Mcconnell, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 333 Cedar St, Ynhh Internal Medicine-gi,section Of Digestive Diseases, New Haven, CT 06510 Phone: 203-785-7012 | |
Dr. Margaret M Xu, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Carola Marte, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Chapel St, Haelen Center, New Haven, CT 06511 Phone: 203-789-4135 Fax: 203-867-5241 | |
Jeanette M Tetrault, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-781-4600 Fax: 203-781-4624 |