| Dr Genevieve Montagu Von Walstrom, MD, MPH | |
| 501 Farmington Ave, Farmington, CT 06032-1901 | |
| (860) 674-4334 | |
| Not Available | 
| Full Name | Dr Genevieve Montagu Von Walstrom | 
|---|---|
| Gender | Female | 
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine | 
| Location | 501 Farmington Ave, Farmington, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962797696 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 57243 (Connecticut) | Primary | 
| Entity Name | Personal Care Associates Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558548867 PECOS PAC ID: 6002841947 Enrollment ID: O20050929000645 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Genevieve Montagu Von Walstrom, MD, MPH 501 Farmington Ave, Farmington, CT 06032-1901 Ph: (860) 674-4334 | Dr Genevieve Montagu Von Walstrom, MD, MPH 501 Farmington Ave, Farmington, CT 06032-1901 Ph: (860) 674-4334 | 
| Timothy A. Ledean, DO Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4992 Fax: 860-679-3334 | |
| Martin G Cherniack, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2893 Fax: 860-679-4587 | |
| Kenneth Dangman,  Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2893 | |
| Nauman Jameel Mufti, MD, MPH Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Bridgewater Rd, Suite 100, Farmington, CT 06032 Phone: 860-678-9900 Fax: 860-678-9901 | |
| Linganatha Anil Adisesh, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave Dept Of, Farmington, CT 06030 Phone: 860-679-8619 |