| Carol Weitzman, MD | |
|
215 Main St, Westport, CT 06880-3210 | |
| (203) 220-6764 | |
| Not Available |
| Full Name | Carol Weitzman |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 215 Main St, Westport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134102379 | NPI | - | NPPES |
| 001331561 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 033156 (Connecticut) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 033156 (Connecticut) | Primary |
| 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 | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Weitzman, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Carol Weitzman, MD 215 Main St, Westport, CT 06880-3210 Ph: (203) 220-6764 |
Nicholas Philip Matarazzo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 156 Kings Hwy N, Westport, CT 06880 Phone: 203-221-7337 Fax: 203-291-0830 | |
Dr. Jeffrey A Owens, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1563 Post Road East, Westport, CT 06880 Phone: 203-319-3939 Fax: 203-319-3966 | |
Lauren Frances Allison, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1563 Post Rd E, Westport, CT 06880 Phone: 203-319-3939 Fax: 203-319-3955 | |
Dr. Raymond Paul Lorenzoni Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 333 Boston Post Rd W, B, Westport, CT 06880 Phone: 203-451-7432 | |
Dr. Lori Michele Storch Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 156 Kings Hwy North, Westport, CT 06880 Phone: 203-227-3674 Fax: 203-454-5639 | |
Nicole T Abramowitz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 156 Kings Hwy North, Westport, CT 06880 Phone: 203-227-3674 Fax: 203-454-5639 |