| Dr Max Shutran, MD | |
|
29 Hospital Plz Ste 602, Stamford, CT 06902-3602 | |
| (203) 276-4884 | |
| (203) 276-8418 |
| Full Name | Dr Max Shutran |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 29 Hospital Plz Ste 602, Stamford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508278227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 323908 (New York) | Secondary |
| 207T00000X | Neurological Surgery | 75465 (Connecticut) | Primary |
| Entity Name | Trustees Of Columbia University In The City Of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Max Shutran, MD 29 Hospital Plz Ste 602, Stamford, CT 06902-3602 Ph: (203) 276-4884 | Dr Max Shutran, MD 29 Hospital Plz Ste 602, Stamford, CT 06902-3602 Ph: (203) 276-4884 |
Carl Dila, M. D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 70 Mill River St, Ll3, Stamford, CT 06902 Phone: 203-324-3504 Fax: 203-969-1392 | |
Dr. Kamil W Nowicki, M.D., PH.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-1000 | |
Dr. Charles Cory Rosenstein, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 Hospital Plaza, Suite 602, Stamford, CT 06902 Phone: 203-276-4884 Fax: 203-276-8418 |