Timothy M Barczak, MD | |
345 Montauk Ave, New London, CT 06320-4738 | |
(860) 444-6711 | |
(860) 437-0650 |
Full Name | Timothy M Barczak |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 345 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 |
---|---|---|---|
1427032200 | NPI | - | NPPES |
001246669 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 024666 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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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 |
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Timothy M Barczak, MD 345 Montauk Ave, New London, CT 06320-4738 Ph: (860) 444-6711 | Timothy M Barczak, MD 345 Montauk Ave, New London, CT 06320-4738 Ph: (860) 444-6711 |
Francis Mayeda, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv, New London, CT 06320 Phone: 860-447-2935 Fax: 860-447-2935 | |
Dr. Jeffrey A Simpson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 345 Montauk Ave, New London, CT 06320 Phone: 860-444-6868 Fax: 860-437-0650 | |
Mrs. Patricia P Martini, APRN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 345 Montauk Ave, New London, CT 06320 Phone: 860-444-6868 Fax: 860-437-0650 | |
Jonathan L Levine, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv, New London, CT 06320 Phone: 860-447-2935 Fax: 860-447-2935 | |
Dr. Edward J Watson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 471 Montauk Ave, New London, CT 06320 Phone: 860-443-4148 Fax: 860-442-3805 | |
Dr. Henry Steven Amdur, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 425 Montauk Ave, New London, CT 06320 Phone: 860-442-0383 Fax: 860-442-7266 |