| Dr Ae Hertzler Knox, MD | |
|
Prohealth Physicians Of Bristol, 1251 Farmington Ave., Bristol, CT 06010 | |
| (860) 584-4535 | |
| (860) 589-7656 |
| Full Name | Dr Ae Hertzler Knox |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | Prohealth Physicians Of Bristol, Bristol, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255344321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 029692 (Connecticut) | Primary |
| 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 |
|---|---|
| Dr Ae Hertzler Knox, MD Prohealth Physicians Of Bristol, 1251 Farmington Ave., Bristol, CT 06010 Ph: (860) 584-4535 | Dr Ae Hertzler Knox, MD Prohealth Physicians Of Bristol, 1251 Farmington Ave., Bristol, CT 06010 Ph: (860) 584-4535 |
Susan Glasser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43 Enterprise Dr, Bristol, CT 06010 Phone: 860-589-5230 Fax: 860-589-5297 | |
Ranjit S Pandit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Bristol, CT 06010 Phone: 860-589-5230 Fax: 860-589-5297 | |
Bryan R Holland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43 Enterprise Dr, Bristol, CT 06010 Phone: 860-589-5230 Fax: 860-589-5297 | |
Dr. Thomas G Ward, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 160 Wolcott St, Bristol, CT 06010 Phone: 860-589-8872 Fax: 860-589-6468 | |
Julie E Schiff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43 Enterprise Dr, Bristol, CT 06010 Phone: 860-589-5230 Fax: 860-589-5297 | |
Taraluta H Parikh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Bristol, CT 06010 Phone: 860-628-8978 |