| Manuel A Orta Cobo, MD | |
|
55 Nye Rd Ste 105, Glastonbury, CT 06033-1281 | |
| (860) 375-5088 | |
| (860) 590-2030 |
| Full Name | Manuel A Orta Cobo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 55 Nye Rd Ste 105, Glastonbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346504941 | NPI | - | NPPES |
| 010977100 | Medicaid | FL |
| 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 |
|---|---|
| Manuel A Orta Cobo, MD Po Box 994, Glastonbury, CT 06033-0994 Ph: (860) 375-5088 | Manuel A Orta Cobo, MD 55 Nye Rd Ste 105, Glastonbury, CT 06033-1281 Ph: (860) 375-5088 |
Mckenna Tierney, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 290 Western Blvd, Glastonbury, CT 06033 Phone: 860-652-3325 | |
Mr. John Howard Lavalette, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 31 Sycamore Rd, Glastonbury, CT 06033 Phone: 860-721-7561 Fax: 860-721-9199 | |
Dr. Sharon K Pool, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 379 Naubuc Ave, Glastonbury, CT 06033 Phone: 860-652-3325 Fax: 860-652-0445 | |
Dr. Gubbanna V Kumar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 New London Tpke Ste 322, Glastonbury, CT 06033 Phone: 860-781-8181 | |
Robert S. Adamenko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 320 Western Blvd, Suite 102, Glastonbury, CT 06033 Phone: 860-633-9235 | |
Julie Macneil, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 290 Western Blvd, Glastonbury, CT 06033 Phone: 888-344-0007 Fax: 860-652-9277 |