Suguru Imaeda, MD | |
55 Lock Street, New Haven, CT 06520-8237 | |
(203) 432-0076 | |
(203) 432-7289 |
Full Name | Suguru Imaeda |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 36 Years |
Location | 55 Lock Street, New Haven, 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 |
---|---|---|---|
1760472237 | NPI | - | NPPES |
001323261 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 032326 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yale University | 9436061736 | 2238 |
Entity Name | Yale University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Entity Name | Yale University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093862740 PECOS PAC ID: 9436061736 Enrollment ID: O20031124000690 |
Entity Name | Yale Dermatology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991357 PECOS PAC ID: 9436145497 Enrollment ID: O20040423000874 |
Mailing Address | Practice Location Address |
---|---|
Suguru Imaeda, MD Po Box 208237, 55 Lock Street, New Haven, CT 06520-8237 Ph: (203) 432-0076 | Suguru Imaeda, MD 55 Lock Street, New Haven, CT 06520-8237 Ph: (203) 432-0076 |
Robert E Tigelaar, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 15 York St, Dermatology, Lci Room 609, New Haven, CT 06510 Phone: 203-785-4632 Fax: 203-785-3315 | |
Marianna Freudzon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 333 Cedar St, Yusm Department Of Dermatology, New Haven, CT 06510 Phone: 203-785-4632 | |
Michael Girardi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15 York St, New Haven, CT 06510 Phone: 203-785-4632 Fax: 203-785-3315 | |
Dr. Noah Hornick, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 Sargent Dr Ste 2, New Haven, CT 06511 Phone: 203-503-3000 | |
Antonio Subtil Deoliveira Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519 Phone: 203-785-2140 | |
Dr. Mary Escherich Laird, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2 Church St S, New Haven, CT 06519 Phone: 203-785-4445 Fax: 203-776-6188 | |
Leonard M Milstone, MD Dermatology Medicare: Medicare Enrolled Practice Location: 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519 Phone: 203-785-2140 |