| Kenneth J Dobuler, MD | |
|
130 Division St, Derby, CT 06418-1326 | |
| (203) 732-7573 | |
| (203) 732-7418 |
| Full Name | Kenneth J Dobuler |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 130 Division St, Derby, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518997352 | NPI | - | NPPES |
| 00119661700 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 019661 (Connecticut) | Primary |
| Entity Name | Pulmonary Specialties, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437354560 PECOS PAC ID: 8628169539 Enrollment ID: O20070807000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Dobuler, MD 130 Division St, Derby, CT 06418 Ph: (203) 732-7573 | Kenneth J Dobuler, MD 130 Division St, Derby, CT 06418-1326 Ph: (203) 732-7573 |
Genevieve Cecile Kela, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7327 | |
Dr. Gerald George Fette, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Dr. Banya Myo Win, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 230-735-7421 | |
Dr. Barbara Odac, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Dr. Howard Quentzel, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7439 Fax: 203-732-1425 | |
Dr. Mukesh Kumar, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-1330 Fax: 203-732-1332 | |
Divya Mamootil, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 300 Seymour Ave Ste 202, Derby, CT 06418 Phone: 203-732-2651 Fax: 203-732-2654 |