Stephen J Maddox Jr, MD | |
160 Robbins St, Waterbury, CT 06708-2652 | |
(203) 755-2999 | |
(203) 755-6782 |
Full Name | Stephen J Maddox Jr |
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Gender | Male |
Speciality | Pediatrics |
Location | 160 Robbins St, Waterbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083680342 | NPI | - | NPPES |
008016138 | Medicaid | CT | |
045563 | Other | CT | PHYSICIAN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 230823 (New York) | Secondary |
208000000X | Pediatrics | 045563 (Connecticut) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Mailing Address | Practice Location Address |
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Stephen J Maddox Jr, MD 160 Robbins St, Waterbury, CT 06708-2652 Ph: (203) 755-2999 | Stephen J Maddox Jr, MD 160 Robbins St, Waterbury, CT 06708-2652 Ph: (203) 755-2999 |
Dr. Maria Tasso, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971 | |
Elizabeth Marie Bailey Geib, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Dr. Ellen Mascoli-lanza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971 | |
Neysa J. Mcdonald, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Elsa Mercedes Martinez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 80 Phoenix Ave Ste 201, Waterbury, CT 06702 Phone: 203-756-8021 | |
Dr. Linda T Mathew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2457 E Main St, Waterbury, CT 06705 Phone: 203-754-0169 Fax: 203-578-3420 |