Samuel Maryles, MD | |
365 Montauk Ave, New London, CT 06320-4700 | |
(330) 493-4443 | |
(330) 493-8677 |
Full Name | Samuel Maryles |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 365 Montauk Ave, New London, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013064591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 04242 (Connecticut) | Primary |
Entity Name | Emergency Medicine Physicians Of Fairfield County Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689614109 PECOS PAC ID: 9335051432 Enrollment ID: O20031105000451 |
Entity Name | Emergency Medicine Physicians Of New Haven County Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083910962 PECOS PAC ID: 4284819764 Enrollment ID: O20110427000166 |
Mailing Address | Practice Location Address |
---|---|
Samuel Maryles, MD 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443 | Samuel Maryles, MD 365 Montauk Ave, New London, CT 06320-4700 Ph: (330) 493-4443 |
Michael James Drechsler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Dr. Anthony Noto, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Russell Firman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677 | |
Siri L Daulaire, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Jayson Podber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677 | |
Sophia Gee O'donnell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, Emergency Medicine Department, New London, CT 06320 Phone: 860-444-3733 |