| Dr Daniel Jay Roth, MD | |
|
1665 Ellington Rd, South Windsor, CT 06074-2778 | |
| (860) 648-2447 | |
| Not Available |
| Full Name | Dr Daniel Jay Roth |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 34 Years |
| Location | 1665 Ellington Rd, South Windsor, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467541078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 81112 (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 Daniel Jay Roth, MD 1830 D Youville Ln, Atlanta, GA 30341-1460 Ph: () - | Dr Daniel Jay Roth, MD 1665 Ellington Rd, South Windsor, CT 06074-2778 Ph: (860) 648-2447 |
Anna Ryan, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1665 Ellington Rd, South Windsor, CT 06074 Phone: 860-648-2447 | |
Zozan Chweich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1665 Ellington Rd, South Windsor, CT 06074 Phone: 860-648-2447 Fax: 860-644-0874 | |
Bhavna Sacheti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1728 Ellington Rd, South Windsor, CT 06074 Phone: 860-644-1533 Fax: 860-644-1252 | |
Dr. Vandana Sacheti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1728 Ellington Rd, South Windsor, CT 06074 Phone: 860-644-1533 Fax: 860-644-1252 | |
Sreenivas Dutt Gunturu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Tamarack Ave, South Windsor, CT 06074 Phone: 860-647-8282 Fax: 860-647-8399 | |
John Henry Walker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 Tamarack Ave, South Windsor, CT 06074 Phone: 860-647-8282 Fax: 860-647-8399 | |
Dr. Frederic Jacob Bernstein, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 Tamarack Ave, South Windsor, CT 06074 Phone: 860-647-8282 Fax: 860-647-8399 |