| Dr Daren R Anderson, MD | |
|
631 Main St, Middletown, CT 06457-2762 | |
| (203) 599-5081 | |
| (860) 638-6842 |
| Full Name | Dr Daren R Anderson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 631 Main St, Middletown, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306843529 | NPI | - | NPPES |
| 004236346 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036530 (Connecticut) | Primary |
| Entity Name | Confermed Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376190850 PECOS PAC ID: 2466846928 Enrollment ID: O20220225001550 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daren R Anderson, MD 635 Main St, Attn: Credentialing Dpt, Middletown, CT 06457-2718 Ph: (860) 347-6971 | Dr Daren R Anderson, MD 631 Main St, Middletown, CT 06457-2762 Ph: (203) 599-5081 |
Dr. Miklos C. Fogarasi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 536 Saybrook Rd, Middletown, CT 06457 Phone: 860-358-2220 Fax: 860-358-2222 | |
George Agyapong, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-262-5128 | |
Lisa Ochola-tinker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-5322 Fax: 860-358-6298 | |
Dr. Mohammed Al-damluji, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 420 Saybrook Rd Ste A, Middletown, CT 06457 Phone: 860-636-2010 Fax: 860-636-2024 | |
Jude F Clancy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Saybrook Rd, Middletown, CT 06457 Phone: 203-678-1050 Fax: 860-696-2045 | |
Dr. James Kar-kee Yue, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 760 Saybrook Rd, Middletown, CT 06457 Phone: 860-347-3304 Fax: 860-346-8245 | |
Mario Q Ricci Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Saybrook Rd, Suite 201, Middletown, CT 06457 Phone: 860-347-4620 Fax: 860-346-9687 |