| John J Mara, MD | |
|
1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 | |
| (860) 525-4469 | |
| (860) 278-8803 |
| Full Name | John J Mara |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Hand Surgery |
| Location | 1111 Cromwell Ave Ste 404, Rocky Hill, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659335297 | NPI | - | NPPES |
| 01222801 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 022280 (Connecticut) | Primary |
| Entity Name | Orthopedic Surgical Partners, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710017439 PECOS PAC ID: 1355394115 Enrollment ID: O20050222000478 |
| Mailing Address | Practice Location Address |
|---|---|
| John J Mara, MD 1111 Cromwell Ave Ste 403, Rocky Hill, CT 06067-3454 Ph: (860) 525-4469 | John J Mara, MD 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 Ph: (860) 525-4469 |
Michael Boniello, M.D., M.SC. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 Phone: 860-525-4469 | |
Robert W Mcallister, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 Phone: 860-525-4469 Fax: 860-278-8032 | |
Aris D. Yannopoulos, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 Phone: 860-525-4469 Fax: 860-278-8032 | |
Brian Schmidtberg, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Cromwell Ave Ste 404, Rocky Hill, CT 06067 Phone: 860-525-4469 Fax: 860-278-8032 |