| Dr Edward J Watson, MD | |
|
471 Montauk Ave, New London, CT 06320-4614 | |
| (860) 443-4148 | |
| (860) 442-3805 |
| Full Name | Dr Edward J Watson |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 471 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 |
|---|---|---|---|
| 1528031804 | NPI | - | NPPES |
| 001297127 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 029712 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward J Watson, MD 471 Montauk Ave, New London, CT 06320-4614 Ph: (860) 443-4148 | Dr Edward J Watson, MD 471 Montauk Ave, New London, CT 06320-4614 Ph: (860) 443-4148 |
Dr. Jeffrey A Simpson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 345 Montauk Ave, New London, CT 06320 Phone: 860-444-6868 Fax: 860-437-0650 | |
Mrs. Patricia P Martini, APRN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 345 Montauk Ave, New London, CT 06320 Phone: 860-444-6868 Fax: 860-437-0650 | |
Timothy M Barczak, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 345 Montauk Ave, New London, CT 06320 Phone: 860-444-6711 Fax: 860-437-0650 | |
Jonathan L Levine, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv, New London, CT 06320 Phone: 860-447-2935 Fax: 860-447-2935 | |
Dr. Henry Steven Amdur, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 425 Montauk Ave, New London, CT 06320 Phone: 860-442-0383 Fax: 860-442-7266 | |
Magdalena Szutowska, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4 Shaws Cv, Suite 204, New London, CT 06320 Phone: 860-447-2377 Fax: 860-447-2935 |