| Keat-jin Lee, MD | |
| 1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991 | |
| (203) 777-4005 | |
| (203) 776-7741 | 
| Full Name | Keat-jin Lee | 
|---|---|
| Gender | Male | 
| Speciality | Otolaryngology | 
| Location | 1 Long Wharf Dr, New Haven, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891716502 | NPI | - | NPPES | 
| 001152339 | Medicaid | CT | |
| 041069592 | Other | CT | RAILROAD MEDICARE PIN | 
| Entity Name | Southern New England Ear, Nose, Throat And Facial Plastic Surgery Grou | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215164058 PECOS PAC ID: 3971655325 Enrollment ID: O20090715000326 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Keat-jin Lee, MD 1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991 Ph: (203) 777-4005 | Keat-jin Lee, MD 1 Long Wharf Dr, Suite 302, New Haven, CT 06511-5991 Ph: (203) 777-4005 | 
| Justin Cottrell, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 800 Howard Ave Fl 4, New Haven, CT 06519 Phone: 877-925-3637 Fax: 203-785-3970 | |
| Dr. Kiley Edward Trott, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1 Park Street, Wing West Pavilion Fl 2nd Floor, New Haven, CT 06504 Phone: 203-785-5430 Fax: 203-785-3970 | |
| Mark S Bianchi, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 55 Lock Street, New Haven, CT 06511 Phone: 203-375-0050 Fax: 203-380-1616 | |
| Dr. Sara Isabel Pai, MD, PHD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 35 Park St, New Haven, CT 06519 Phone: 855-476-4569 | |
| Dr. Richard Peter Manes, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 800 Howard Ave Fl 4, Yale Physicians Building, New Haven, CT 06519 Phone: 203-785-2593 Fax: 203-785-3970 | |
| Sam D Schild, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 330 Cedar Street, New Haven, CT 06510 Phone: 203-785-5430 | |
| Mark A Dagostino, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Long Wharf Dr, Suite 302, New Haven, CT 06511 Phone: 203-776-1288 Fax: 203-776-7741 |