| Mark A Rosenthal, MD | |
|
1527 Route 12, Box 608, Gales Ferry, CT 06335-1800 | |
| (860) 464-7248 | |
| (860) 464-0125 |
| Full Name | Mark A Rosenthal |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1527 Route 12, Gales Ferry, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144319690 | NPI | - | NPPES |
| 01037353 | Other | CIGNA | |
| OV5871 | Other | HEALTH NET | |
| 010037353CT0 | Other | BLUE CROSS | |
| 761223 | Other | CONNECTICARE | |
| 001373539 | Medicaid | CT | |
| 1204724 | Other | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 037353 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Rosenthal, MD 1527 Route 12, Po Box 608, Gales Ferry, CT 06335-1800 Ph: (860) 464-7248 | Mark A Rosenthal, MD 1527 Route 12, Box 608, Gales Ferry, CT 06335-1800 Ph: (860) 464-7248 |
Sarah Hafeez Ilahi, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1527 Route 12, Gales Ferry, CT 06335 Phone: 860-464-7724 Fax: 860-464-0125 | |
David M. Rinzler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1527 Route 12, Gales Ferry, CT 06335 Phone: 860-464-7248 Fax: 860-464-0125 | |
Dr. Foong-yi Lin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1527 Rt 12, Box 608, Gales Ferry, CT 06335 Phone: 860-464-7248 Fax: 860-464-0125 | |
Michelle N Watson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1527 Route 12, Gales Ferry, CT 06335 Phone: 860-464-7248 Fax: 860-464-0125 | |
John P Ancona, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1527 Route 12, Gales Ferry, CT 06335 Phone: 860-464-7248 Fax: 860-464-0125 | |
Charles R Esposito, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1527 Route 12, Gales Ferry, CT 06335 Phone: 860-464-7248 Fax: 860-464-0125 |