| Peter W Heald, MD | |
|
15 York St, New Haven, CT 06510-3221 | |
| (203) 785-4632 | |
| (203) 785-3315 |
| Full Name | Peter W Heald |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 15 York St, New Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376534784 | NPI | - | NPPES |
| 001273713 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 027371 (Connecticut) | Primary |
| Entity Name | Dermatology Associates Of Western Connecticut, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306851050 PECOS PAC ID: 6507804671 Enrollment ID: O20050419001356 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter W Heald, MD Po Box 9805, 300 George St, 6th Floor, New Haven, CT 06536-0805 Ph: () - | Peter W Heald, MD 15 York St, New Haven, CT 06510-3221 Ph: (203) 785-4632 |
Robert E Tigelaar, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 15 York St, Dermatology, Lci Room 609, New Haven, CT 06510 Phone: 203-785-4632 Fax: 203-785-3315 | |
Marianna Freudzon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 333 Cedar St, Yusm Department Of Dermatology, New Haven, CT 06510 Phone: 203-785-4632 | |
Michael Girardi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15 York St, New Haven, CT 06510 Phone: 203-785-4632 Fax: 203-785-3315 | |
Dr. Noah Hornick, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 Sargent Dr Ste 2, New Haven, CT 06511 Phone: 203-503-3000 | |
Antonio Subtil Deoliveira Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519 Phone: 203-785-2140 | |
Dr. Mary Escherich Laird, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2 Church St S, New Haven, CT 06519 Phone: 203-785-4445 Fax: 203-776-6188 | |
Dr. Lihi Atzmony Maoz, MD Dermatology Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-785-4110 |