Dr Max Shutran, MD | |
29 Hospital Plz Ste 602, Stamford, CT 06902-3602 | |
(203) 276-4884 | |
(203) 276-8418 |
Full Name | Dr Max Shutran |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 29 Hospital Plz Ste 602, Stamford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508278227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 323908 (New York) | Secondary |
207T00000X | Neurological Surgery | 75465 (Connecticut) | Primary |
Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720037385 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000426 |
Mailing Address | Practice Location Address |
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Dr Max Shutran, MD 29 Hospital Plz Ste 602, Stamford, CT 06902-3602 Ph: (203) 276-4884 | Dr Max Shutran, MD 29 Hospital Plz Ste 602, Stamford, CT 06902-3602 Ph: (203) 276-4884 |
Carl Dila, M. D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 70 Mill River St, Ll3, Stamford, CT 06902 Phone: 203-324-3504 Fax: 203-969-1392 | |
Dr. Kamil W Nowicki, M.D., PH.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-1000 | |
Dr. Charles Cory Rosenstein, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 Hospital Plaza, Suite 602, Stamford, CT 06902 Phone: 203-276-4884 Fax: 203-276-8418 |