| Dr Michael Howard Bloch, MD | |
|
3 Woodbine St, Hamden, CT 06517-2026 | |
| (203) 785-7683 | |
| (203) 785-7611 |
| Full Name | Dr Michael Howard Bloch |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3 Woodbine St, Hamden, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770743064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 045737 (Connecticut) | Primary |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| 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 |
| Entity Name | State Of Connecticut |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881629434 PECOS PAC ID: 8022915677 Enrollment ID: O20041227000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Howard Bloch, MD 3 Woodbine St, Hamden, CT 06517-2026 Ph: (203) 785-7683 | Dr Michael Howard Bloch, MD 3 Woodbine St, Hamden, CT 06517-2026 Ph: (203) 785-7683 |
Samuel Leon Bridgers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2080 Whitney Ave, Suite 280, Hamden, CT 06518 Phone: 203-248-6200 Fax: 203-248-5479 | |
George Davis Gammon, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 33 Edgehill Ter, Hamden, CT 06517 Phone: 203-865-6540 | |
Dr. Parkavi Chellappa, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9102 Town Walk Dr, Hamden, CT 06518 Phone: 520-437-1634 | |
Enrique J Tello, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 60 Washington Ave, Suite 304, Hamden, CT 06518 Phone: 203-281-2890 Fax: 203-281-2896 | |
Ezra Eh Griffith, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 95 Circular Ave, Hamden, CT 06514 Phone: 203-288-6253 Fax: 203-288-0948 | |
Brian Keyes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Whitney Ave, Hamden, CT 06517 Phone: 203-248-2116 Fax: 203-287-9815 | |
Lisa Fillmore, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 60 Washington Ave, Suite 304, Hamden, CT 06518 Phone: 203-281-2890 Fax: 203-281-2896 |