| Dr Varvara S Mironova, MD | |
|
71 Haynes St, Manchester, CT 06040-4131 | |
| (203) 785-7890 | |
| Not Available |
| Full Name | Dr Varvara S Mironova |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 71 Haynes St, Manchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114374303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 1.076729 (Connecticut) | Primary |
| Entity Name | Prospect Ct Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144677568 PECOS PAC ID: 7416244496 Enrollment ID: O20160919001322 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Varvara S Mironova, MD 25233 Town Walk Dr, Hamden, CT 06518-5336 Ph: (315) 559-0226 | Dr Varvara S Mironova, MD 71 Haynes St, Manchester, CT 06040-4131 Ph: (203) 785-7890 |
Dr. Eyone Jones, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 Haynes St Ste B, Manchester, CT 06040 Phone: 860-646-8888 Fax: 860-646-8885 | |
Dr. Jeffrey M Ranaudo, M.D., M.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Tolland Tpke Ste 1a, Manchester, CT 06042 Phone: 860-533-6551 Fax: 203-502-2615 | |
Laureen Forgione-rubino, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 945 Main Street, Suite #105, Manchester, CT 06040 Phone: 860-645-1232 Fax: 860-647-0438 | |
Dr. Michael James Tortora, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Suite1221, Manchester, CT 06040 Phone: 860-944-0751 | |
John Anthony Pietropaoli Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Tolland Tpke Ste 1a, Manchester, CT 06042 Phone: 860-533-6551 Fax: 860-533-6552 | |
Dr. Maria Elizabeth Litzendorf, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 Tolland Tpke Ste 1a, Manchester, CT 06042 Phone: 860-533-6551 Fax: 860-533-6552 |