Mustapha Kemal, MD | |
365 Montauk Ave, L&m Physician Association, Inc., New London, CT 06320-4700 | |
(860) 442-0711 | |
(860) 442-0262 |
Full Name | Mustapha Kemal |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 40 Years |
Location | 365 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942281662 | NPI | - | NPPES |
1357706 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | MD14994 (Rhode Island) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 035770 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence & Memorial Hospital | New london, CT | Hospital |
Newport Hospital | Newport, RI | Hospital |
Rhode Island Hospital | Providence, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Medical Group Inc | 1254233836 | 1244 |
Lifespan Physician Group Inc | 2567455082 | 634 |
Entity Name | Northeast Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
---|---|
Mustapha Kemal, MD 2 Lorenz Industrial Pkwy, Ledyard, CT 06339-1946 Ph: (860) 464-3045 | Mustapha Kemal, MD 365 Montauk Ave, L&m Physician Association, Inc., New London, CT 06320-4700 Ph: (860) 442-0711 |
Dr. Rummana S Aslam, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Dr. Albert Daniel Ardao, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 292 Pequot Ave, #40, New London, CT 06320 Phone: 860-443-8098 | |
Dr. Joseph W Peters, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-4739 Fax: 860-442-0260 |