Marie Dam, MD | |
35 Tower Ln, Suite 103, Avon, CT 06001-4237 | |
(860) 921-3345 | |
(860) 201-1041 |
Full Name | Marie Dam |
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Gender | Female |
Speciality | Internal Medicine |
Location | 35 Tower Ln, Avon, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164576062 | NPI | - | NPPES |
001364413 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036441 (Connecticut) | Primary |
207R00000X | Internal Medicine | 113731 (Florida) | Secondary |
207R00000X | Internal Medicine | 45523 (Kentucky) | Secondary |
Entity Name | Skilled Facility Health Care Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20191203001685 |
Mailing Address | Practice Location Address |
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Marie Dam, MD 35 Tower Ln, Suite 103, Avon, CT 06001-4237 Ph: (860) 921-3345 | Marie Dam, MD 35 Tower Ln, Suite 103, Avon, CT 06001-4237 Ph: (860) 921-3345 |
Dr. Chi H Kim, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Simsbury Rd, Suite 203, Avon, CT 06001 Phone: 860-284-5111 Fax: 860-254-5114 | |
Carol Petruff, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd, Prime Healthcare, Avon, CT 06001 Phone: 860-674-8830 Fax: 860-674-8984 | |
Anthony Zaldonis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd, Prime Healthcare, Avon, CT 06001 Phone: 860-674-8830 Fax: 860-674-8984 | |
Dr. Julie Ann Vernon, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 62 Northgate, Avon, CT 06001 Phone: 860-675-0542 | |
Lisa Marie Gronski, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 339 W Main St, Avon, CT 06001 Phone: 860-696-2150 Fax: 860-696-2160 | |
Paul P Stroebel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 236 Cold Spring Road, Avon, CT 06001 Phone: 860-673-0882 |