| Jacqueline Ms Sloan, MD | |
|
225 Hopmeadow Street, Weatogue, CT 06089 | |
| (860) 658-0465 | |
| Not Available |
| Full Name | Jacqueline Ms Sloan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 225 Hopmeadow Street, Weatogue, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902803299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 045826 (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 |
|---|---|
| Jacqueline Ms Sloan, MD 46 Great Pond Rd, Simsbury, CT 06070-1904 Ph: () - | Jacqueline Ms Sloan, MD 225 Hopmeadow Street, Weatogue, CT 06089 Ph: (860) 658-0465 |
Dr. Elizabeth T Pericat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963 | |
Dr. Daniel L Spada, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963 | |
Dr. Mark Andrew Sabo, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 | |
Dr. Richard H Bason, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963 | |
Dr. Sydney Ladenheim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963 | |
Jamie Lyn Schned, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 | |
Dr. Janice J Johnston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St, Weatogue, CT 06089 Phone: 860-658-0465 Fax: 860-658-5963 |