| Stanford R Broder, MD | |
|
51-53 Kenosia Ave, Danbury, CT 06810 | |
| (203) 748-0330 | |
| (203) 731-3273 |
| Full Name | Stanford R Broder |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 32 Years |
| Location | 51-53 Kenosia Ave, Danbury, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316942519 | NPI | - | NPPES |
| 001374975 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 037497 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Danbury Hospital | Danbury, CT | Hospital |
| Sharon Hospital | Sharon, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Danbury Hospital | 1557273935 | 44 |
| Urology Associates Of Danbury, Pc | 3971494782 | 13 |
| Entity Name | Danbury Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548293343 PECOS PAC ID: 1557273935 Enrollment ID: O20031104000476 |
| Entity Name | Urology Associates Of Danbury, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932107034 PECOS PAC ID: 3971494782 Enrollment ID: O20041005000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford R Broder, MD 51-53 Kenosia Ave, Danbury, CT 06810 Ph: (203) 748-0330 | Stanford R Broder, MD 51-53 Kenosia Ave, Danbury, CT 06810 Ph: (203) 748-0330 |
William T. Hennessy, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 51-53 Kenosia Ave, Danbury, CT 06810 Phone: 203-748-0330 Fax: 203-731-3273 | |
Edward M Beck, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 51-53 Kenosia Ave, Danbury, CT 06810 Phone: 203-748-0330 Fax: 203-731-3273 | |
Dr. Michael Emanuel Goltzman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 51-53 Kenosia Ave, Danbury, CT 06810 Phone: 203-748-0330 Fax: 203-797-0255 | |
John James Bruno Ii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 51-53 Kenosia Ave, Danbury, CT 06810 Phone: 203-748-0330 Fax: 203-731-3273 | |
Jeffrey Gorelick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 51-53 Kenosia Ave, Danbury, CT 06810 Phone: 203-748-0330 Fax: 203-731-3273 | |
Alex Michael Hennessey, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 51-53 Kenosia Ave, Danbury, CT 06810 Phone: 203-748-0330 |