| Penny Ann Lowenstein, MD | |
|
210 New London Tpke, Glastonbury, CT 06033-2235 | |
| (860) 633-1543 | |
| (860) 659-9755 |
| Full Name | Penny Ann Lowenstein |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 210 New London Tpke, 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 |
|---|---|---|---|
| 1992798292 | NPI | - | NPPES |
| 052530 | Other | CT | CONNECTICARE |
| 669512 | Other | CT | AETNA |
| 010024887CT02 | Other | CT | ANTHEM BC/BS OF CT |
| 3739162002 | Other | CT | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 024887 (Connecticut) | Primary |
| Entity Name | Dermatology Associates Of Glastonbury Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730175845 PECOS PAC ID: 2769373372 Enrollment ID: O20040323001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Ann Lowenstein, MD 210 New London Tpke, Glastonbury, CT 06033-2235 Ph: (860) 633-1543 | Penny Ann Lowenstein, MD 210 New London Tpke, Glastonbury, CT 06033-2235 Ph: (860) 633-1543 |
Bella Kachkoff Zubkov, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 210 New London Tpke, Glastonbury, CT 06033 Phone: 860-633-1543 Fax: 860-659-9755 | |
Athanasia D Syrengelas, MD PHD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 210 New London Tpke, Glastonbury, CT 06033 Phone: 860-633-1543 Fax: 860-659-9755 | |
James Stephen Rosokoff, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 15 Concord Street, Glastonbury, CT 06033 Phone: 860-659-2779 Fax: 860-633-9315 | |
Janelle Shield Manton, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 210 New London Turn Pike, Glastonbury, CT 06033 Phone: 860-633-1543 Fax: 860-659-9755 | |
Ali Banki, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2928 Main St Ste 200, Glastonbury, CT 06033 Phone: 860-659-2779 Fax: 860-633-9315 |