Mr Henry F Fedus, DPM | |
21 Grand Street, Hartford, CT 06106 | |
(860) 550-7500 | |
(860) 550-7501 |
Full Name | Mr Henry F Fedus |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 21 Grand Street, Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316902273 | NPI | - | NPPES |
000662 | Other | CT | PODIATRIST LICENSE |
25027 | Other | CT | CONTROLLED SUBSTANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 0662 (Connecticut) | Primary |
Provider Name | Charter Oak Health Center, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992750855 PECOS PAC ID: 3870401078 Enrollment ID: O20040220000909 |
Mailing Address | Practice Location Address |
---|---|
Mr Henry F Fedus, DPM 21 Grand Street, Hartford, CT 06106 Ph: (860) 550-7500 | Mr Henry F Fedus, DPM 21 Grand Street, Hartford, CT 06106 Ph: (860) 550-7500 |
Eric Lui, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St, Suite 409, Hartford, CT 06106 Phone: 860-547-0616 Fax: 860-524-2655 | |
Connecticut Surgical Group, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Ste 409, Hartford, CT 06106 Phone: 860-547-0616 Fax: 860-524-2655 | |
Connecticut Foot Specialists Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Avenue, Suite 2100, Hartford, CT 06105 Phone: 860-714-3668 Fax: 860-714-8123 | |
Catherine Jacobs, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-5911 | |
Dr. Eric Myles Kosofsky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 999 Asylum Ave Ste 111, Hartford, CT 06105 Phone: 860-523-8026 Fax: 860-523-7622 | |
Miss Kristina Corvese Bystrak, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-5911 |