| Owen Ehrlich, MD | |
|
53 C Granite Street, New London, CT 06320 | |
| (860) 442-8817 | |
| (860) 442-2011 |
| Full Name | Owen Ehrlich |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 53 C Granite Street, New London, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295835999 | NPI | - | NPPES |
| 001228543-00 | Other | BLUE CARE FAMILY PLAN | |
| 06-1556110 | Other | HEALTH CONNECTICUT | |
| 06-1556110 | Other | DIVERSIFIED | |
| NLP074 | Other | OXFORD | |
| 06-1556110 | Other | CIGNA | |
| 010022854CT01 | Other | BLUE CROSS | |
| 06-1556110 | Other | NORTHEAST DIRECT | |
| 06-1556110 | Other | PIONEER | |
| 001228543 | Medicaid | CT | |
| 06-1556110 | Other | UNITED | |
| OV6151 | Other | HEALTH NET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 022854 (Connecticut) | Primary |
| 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 |
|---|---|
| Owen Ehrlich, MD 53 C Granite Street, New London, CT 06320 Ph: (860) 442-8817 | Owen Ehrlich, MD 53 C Granite Street, New London, CT 06320 Ph: (860) 442-8817 |
Dr. Amr Ahmed Elmeki, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-422-0711 | |
James William Pellegrini, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-444-5151 | |
Brett V Citarella, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-4740 | |
Dr. Bonnie Suzanne Mackenzie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 | |
Bernard A. Giserman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 | |
Ruth M. Lebovitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 53 C Granite Street, New London, CT 06320 Phone: 860-442-8817 Fax: 860-442-2011 |