| Jonathan Li, MD | |
|
520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 | |
| (860) 358-2270 | |
| (860) 347-6774 |
| Full Name | Jonathan Li |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 520 Saybrook Rd Ste 100b, Middletown, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619436169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 78863 (Connecticut) | Primary |
| Entity Name | Mhs Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336279058 PECOS PAC ID: 4082507371 Enrollment ID: O20040202000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Li, MD 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-6000 | Jonathan Li, MD 520 Saybrook Rd Ste 100b, Middletown, CT 06457-4700 Ph: (860) 358-2270 |
Dr. Richard O Frink, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 520 Saybrook Road, Suite 100b, Middletown, CT 06457 Phone: 860-347-8850 Fax: 860-347-6774 | |
Dr. Edward G Myer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 520 Saybrook Rd Ste 100b, Middletown, CT 06457 Phone: 860-347-8850 | |
Dr. Geoffrey E Herter, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 520 Saybrook Road, Suite 100b, Middletown, CT 06457 Phone: 860-347-8850 Fax: 860-347-6774 | |
Dr. Dana Ufnal Kivlin, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 520 Saybrook Rd Ste 100b, Middletown, CT 06457 Phone: 860-347-8850 | |
Dr. Timothy Charles Siegrist, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 520 Saybrook Rd, Middletown, CT 06457 Phone: 860-347-8850 | |
Dr. Jeffrey V Rabuffo, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 520 Saybrook Road, Suite 100b, Middletown, CT 06457 Phone: 860-347-8850 Fax: 860-347-6774 |