| Hervey A Weitzman, MD | |
|
175 Jefferson St, Fairfield, CT 06825-1078 | |
| (203) 365-6473 | |
| (203) 396-1039 |
| Full Name | Hervey A Weitzman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 175 Jefferson St, Fairfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124026406 | NPI | - | NPPES |
| 001138940 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24011 (Connecticut) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 24011 (Connecticut) | Primary |
| Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| Hervey A Weitzman, MD 175 Jefferson St, Fairfield, CT 06825-1078 Ph: (203) 365-6473 | Hervey A Weitzman, MD 175 Jefferson St, Fairfield, CT 06825-1078 Ph: (203) 365-6473 |
Dr. Jonathan Paramo, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 425 Post Rd Ste 201, Fairfield, CT 06824 Phone: 475-210-4350 | |
Dr. Igal Staw, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2000 Post Rd, Ste 202, Fairfield, CT 06824 Phone: 203-853-1919 Fax: 203-855-9002 | |
Dr. Fereshteh Ahmadian, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 111 Beach Rd, Ste 3, Fairfield, CT 06824 Phone: 203-255-2340 | |
Mr. Adrian Dafcik, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 134 Round Hill Road, Fairfield, CT 06824 Phone: 203-255-0695 Fax: 203-255-0629 | |
Ana Patricia Echeverri, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 111 Beach Rd Ste 3, Fairfield, CT 06824 Phone: 203-255-2340 Fax: 203-255-0619 | |
Dr. Peter R Cimino, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1300 Post Rd, Suite 202, Fairfield, CT 06824 Phone: 203-255-8827 Fax: 203-259-4610 | |
Dr. Kenneth C Fine, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 175 Jefferson St, Fairfield, CT 06825 Phone: 203-365-6473 Fax: 203-396-1039 |