| Shiji A Isaac, MD | |
| 
					505 Willard Avenue, Building 2, Suite C, Newington, CT 06111  | |
| (860) 666-5601 | |
| Not Available | 
| Full Name | Shiji A Isaac | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 505 Willard Avenue, Newington, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528112299 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 047281 (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 | 
|---|---|
| Shiji A Isaac, MD 14 Park Palce Circle, Unit A, West Hartford, CT 06110 Ph: (917) 797-9869  | Shiji A Isaac, MD 505 Willard Avenue, Building 2, Suite C, Newington, CT 06111 Ph: (860) 666-5601  | 
Douglas Macgilpin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Willard Avenue, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 Fax: 860-666-2539  | |
Dr. Amy L Baumer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 505 Willard Ave, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 Fax: 860-667-3909  | |
Dr. Jonathan Robert Reidel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Willard Ave, Grove Hill Medical Center, Newington, CT 06111 Phone: 860-666-5167 Fax: 860-665-8168  | |
Laura J Pickett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 141 Willard Avenue, Newington, CT 06111 Phone: 860-666-5601  | |
Dr. Courtney Lynne Souza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Willard Ave, Dept Of Pediatrics, Newington, CT 06111 Phone: 860-666-5167 Fax: 860-665-8168  | |
Dr. Richard C Harvey Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 505 Willard Ave, Building 2, Suite C, Newington, CT 06111 Phone: 860-666-5601 Fax: 860-667-3909  |