| Gary Lee Last, MD | |
|
580 Cottage Grove Rd, Suite 207, Bloomfield, CT 06002-3088 | |
| (860) 242-8644 | |
| (860) 242-5017 |
| Full Name | Gary Lee Last |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 580 Cottage Grove Rd, Bloomfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629003918 | NPI | - | NPPES |
| 0100236Q5CT01 | Other | CT | BLUE SHIELD |
| 0012360581 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 23605 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Lee Last, MD 580 Cottage Grove Rd, Suite 207, Bloomfield, CT 06002-3088 Ph: (860) 242-8644 | Gary Lee Last, MD 580 Cottage Grove Rd, Suite 207, Bloomfield, CT 06002-3088 Ph: (860) 242-8644 |
Dr. Shivani Sinha, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 47 Jolley Dr, Bloomfield, CT 06002 Phone: 860-243-3020 Fax: 860-243-3002 |
Jennifer W Pennoyer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 47 Jolley Dr, Bloomfield, CT 06002 Phone: 860-243-3020 Fax: 860-243-3002 |