Todd Glen Hastings, DO | |
1 Wahoo Ave # 600, Groton, CT 06349-2324 | |
(860) 694-4910 | |
Not Available |
Full Name | Todd Glen Hastings |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 1 Wahoo Ave # 600, Groton, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386955060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 0102202888 (Virginia) | Primary |
Entity Name | St Lukes Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Mailing Address | Practice Location Address |
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Todd Glen Hastings, DO 115 Proteus Ave, Groton, CT 06340-2812 Ph: (307) 438-1428 | Todd Glen Hastings, DO 1 Wahoo Ave # 600, Groton, CT 06349-2324 Ph: (860) 694-4910 |
Robert P Hurley, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 75 Eastern Point Rd, Department 644, Station A97-1, Groton, CT 06340 Phone: 860-433-1019 Fax: 860-433-0639 | |
Gregory Archible Adams, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Crystal Lake Rd, Groton, CT 06349 Phone: 860-694-3011 | |
Dr. Shrikant R Deshpande, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 52 Hazelnut Hill Rd, 52 Hazelnut Hill Road, Groton, CT 06340 Phone: 860-446-8265 Fax: 860-448-6961 |