Martin G Cherniack, MD | |
263 Farmington Ave, Farmington, CT 06030-0001 | |
(860) 679-2893 | |
(860) 679-4587 |
Full Name | Martin G Cherniack |
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Gender | Male |
Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
Location | 263 Farmington Ave, Farmington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134125529 | NPI | - | NPPES |
1272781 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 027278 (Connecticut) | Primary |
Entity Name | University Of Connecticut Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
Mailing Address | Practice Location Address |
---|---|
Martin G Cherniack, MD 65 Kane St, Provider Enrollment, West Hartford, CT 06119-2110 Ph: (860) 523-6421 | Martin G Cherniack, MD 263 Farmington Ave, Farmington, CT 06030-0001 Ph: (860) 679-2893 |
Timothy A. Ledean, DO Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4992 Fax: 860-679-3334 | |
Kenneth Dangman, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2893 | |
Nauman Jameel Mufti, MD, MPH Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Bridgewater Rd, Suite 100, Farmington, CT 06032 Phone: 860-678-9900 Fax: 860-678-9901 | |
Dr. Genevieve Montagu Von Walstrom, MD, MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 501 Farmington Ave, Farmington, CT 06032 Phone: 860-674-4334 |