Mitchell Andrew Fogel, MD | |
900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | |
(203) 335-0195 | |
(203) 335-7293 |
Full Name | Mitchell Andrew Fogel |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 900 Madison Ave, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003815887 | NPI | - | NPPES |
001306308 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 030630 (Connecticut) | Primary |
Entity Name | Amboy Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024 |
Mailing Address | Practice Location Address |
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Mitchell Andrew Fogel, MD 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 Ph: (203) 335-0195 | Mitchell Andrew Fogel, MD 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 Ph: (203) 335-0195 |
Christian Heineken, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3180 Main St, Suite 301, Bridgeport, CT 06606 Phone: 203-373-9100 Fax: 203-365-8492 | |
Pasquale Masone, MD Nephrology Medicare: Medicare Enrolled Practice Location: 3180 Main St, Suite 301, Bridgeport, CT 06606 Phone: 203-373-9100 Fax: 203-365-8492 | |
Kevin B Panzer, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1381 Reservoir Ave., Bridgeport, CT 06606 Phone: 203-371-5197 | |
Ms. Lucia Plichtova, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 267 Grant Street, Bridgeport, CT 06610 Phone: 203-384-3792 | |
Hilda Daureen Kyotakoze, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 4920 Main St Fl 2, Bridgeport, CT 06606 Phone: 203-371-2986 | |
Karen A Hutchinson, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829 |