| Agedi Nicholson Boto, MD/PHD | |
|
2800 Main St, Bridgeport, CT 06606-4201 | |
| (475) 210-5032 | |
| (475) 210-5034 |
| Full Name | Agedi Nicholson Boto |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology |
| Location | 2800 Main St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568729077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | 55202 (Connecticut) | Primary |
| Entity Name | Fairfield County Pathology Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518064757 PECOS PAC ID: 7113969833 Enrollment ID: O20050524000533 |
| Entity Name | Connecticut Gi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023124625 PECOS PAC ID: 9830110758 Enrollment ID: O20070112000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Agedi Nicholson Boto, MD/PHD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-2259 | Agedi Nicholson Boto, MD/PHD 2800 Main St, Bridgeport, CT 06606-4201 Ph: (475) 210-5032 |
Dr. Christine Marianne Minerowicz, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3156 Fax: 203-384-3237 | |
Young Choi Kim, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3157 Fax: 203-384-3237 | |
Dr. George Michael Golenwsky, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-5033 | |
Dr. Saurabh Malhotra, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St Dept Of, Bridgeport, CT 06606 Phone: 203-576-5033 | |
Dr. Angelique W Levi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St. Vincent's Medical Center, Dept. Of Pathology, Bridgeport, CT 06606 Phone: 203-576-5033 | |
Sumi Varghese Thomas, M.B.B.S Pathology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 732-235-8120 |