| Dr Amr Ahmed Elmeki, MD | |
|
365 Montauk Ave, New London, CT 06320-4769 | |
| (860) 422-0711 | |
| Not Available |
| Full Name | Dr Amr Ahmed Elmeki |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 365 Montauk Ave, New London, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053757625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 62204 (Connecticut) | Primary |
| 208000000X | Pediatrics | MD458591 (Pennsylvania) | Secondary |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Hazleton Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952464638 PECOS PAC ID: 8022110402 Enrollment ID: O20070305000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amr Ahmed Elmeki, MD 333 Cedar St # 4100, New Haven, CT 06510-3206 Ph: (203) 785-3141 | Dr Amr Ahmed Elmeki, MD 365 Montauk Ave, New London, CT 06320-4769 Ph: (860) 422-0711 |
James William Pellegrini, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-5151 | |
Brett V Citarella, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-4740 | |
Dr. Bonnie Suzanne Mackenzie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Owen Ehrlich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 | |
Bernard A. Giserman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 | |
Ruth M. Lebovitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 |