| Dr Daisy H Bang, MD | |
|
2 Ivy Brook Rd Ste 115, Shelton, CT 06484-6416 | |
| (203) 954-0080 | |
| (203) 954-0084 |
| Full Name | Dr Daisy H Bang |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Rheumatology |
| Location | 2 Ivy Brook Rd Ste 115, Shelton, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356579460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 195213 (Pennsylvania) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 54070 (Connecticut) | Primary |
| Entity Name | Griffin Faculty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598755605 PECOS PAC ID: 7618871997 Enrollment ID: O20031120000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daisy H Bang, MD 2 Ivy Brook Rd Ste 115, Shelton, CT 06484-6416 Ph: (203) 954-0080 | Dr Daisy H Bang, MD 2 Ivy Brook Rd Ste 115, Shelton, CT 06484-6416 Ph: (203) 954-0080 |
Lenore M Snowden Opalak, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 4 Corporate Dr, Suite 394, Shelton, CT 06484 Phone: 203-225-0375 Fax: 203-225-0376 | |
Stephen R Woodworth, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2 Ivy Brook Rd, Suite 205, Shelton, CT 06484 Phone: 203-922-9466 Fax: 203-922-9477 | |
Ana Graciela Azueta-jimenez, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 760 River Rd, Shelton, CT 06484 Phone: 203-380-5282 | |
Dr. Piotr Waldemar Baginski, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4 Corporate Dr, Suite 283, Shelton, CT 06484 Phone: 203-944-9775 Fax: 203-944-9964 | |
Dr. Murugesapillai Koneswaran, MD Rheumatology Medicare: May Accept Medicare Assignments Practice Location: 21 Huntington Plaza, Shelton, CT 06484 Phone: 203-929-6358 Fax: 203-929-3826 | |
Dr. Lavanya Bellumkonda, MBBS Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4 Corporate Dr Ste 100, Shelton, CT 06484 Phone: 203-929-9799 | |
Joseph Thomas Coyne, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2 Trap Falls Rd, Ste 414, Shelton, CT 06484 Phone: 203-929-7353 Fax: 203-929-0756 |