Mr Edmund A P West, MD | |
56 Whitehall Ave, Rt 27, Mystic, CT 06355 | |
(860) 572-8282 | |
(860) 572-7445 |
Full Name | Mr Edmund A P West |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 56 Whitehall Ave, Mystic, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154347250 | NPI | - | NPPES |
010015603CT02 | Other | CT | CTBC |
119004722 | Other | RI MC NUMBER | |
47229 | Other | RI | RIBC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 015603 (Connecticut) | Primary |
Entity Name | Hartford Healthcare Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007 |
Mailing Address | Practice Location Address |
---|---|
Mr Edmund A P West, MD 56 Whitehall Ave, Rt 27, Mystic, CT 06355 Ph: (860) 572-8282 | Mr Edmund A P West, MD 56 Whitehall Ave, Rt 27, Mystic, CT 06355 Ph: (860) 572-8282 |
Dr. Sumeet Sanjeev Pawar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Perkins Farm Dr Ste 301, Mystic, CT 06355 Phone: 860-572-5400 | |
Dr. David Salm, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 Main St Ste 11-205, Mystic, CT 06355 Phone: 860-421-1090 Fax: 860-421-1091 | |
Dr. Thomas March Blum, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355 Phone: 860-572-8911 Fax: 860-572-7758 | |
Dr. James David Scarles, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355 Phone: 860-572-8911 Fax: 860-572-7758 | |
Dr. Adam F Niedelman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Perkins Farm Dr Ste 301, Mystic, CT 06355 Phone: 860-572-5400 | |
Dr. Howard Brensilver, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355 Phone: 860-572-8911 Fax: 860-572-7758 |