| Dr Thao Doran, DO | |
|
14 Jones Hollow Rd, Marlborough, CT 06447-1448 | |
| (860) 295-0436 | |
| Not Available |
| Full Name | Dr Thao Doran |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 14 Jones Hollow Rd, Marlborough, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699865063 | NPI | - | NPPES |
| 1699865063 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 051003 (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 Thao Doran, DO 1206 Storrs Rd # 134, Storrs, CT 06268-2251 Ph: (860) 245-1269 | Dr Thao Doran, DO 14 Jones Hollow Rd, Marlborough, CT 06447-1448 Ph: (860) 295-0436 |
Dr. Susan Buchek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447 Phone: 860-295-8217 Fax: 860-295-9734 | |
Dr. Mark D Tuttle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447 Phone: 860-295-8217 Fax: 860-295-9734 | |
Dr. James A Ouellette, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447 Phone: 860-295-8217 Fax: 860-295-9734 | |
Dr. Christopher W Bentley, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447 Phone: 860-295-8217 Fax: 860-295-9734 | |
Daniel Grossman, Family Medicine Medicare: Medicare Enrolled Practice Location: 14 Jones Hollow Rd, Marlborough, CT 06447 Phone: 860-295-8217 Fax: 860-295-9734 |