| Suresh Cec Il D'mello, MD | |
|
19 Halls Rd, Old Lyme, CT 06371-1457 | |
| (860) 434-8300 | |
| Not Available |
| Full Name | Suresh Cec Il D'mello |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 19 Halls Rd, Old Lyme, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144387838 | NPI | - | NPPES |
| 001335654 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 033565 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Suresh Cec Il D'mello, MD 19 Halls Rd, Old Lyme, CT 06371-1457 Ph: (860) 434-8300 | Suresh Cec Il D'mello, MD 19 Halls Rd, Old Lyme, CT 06371-1457 Ph: (860) 434-8300 |
Rhoda Asimeng, DO, MS Family Medicine Medicare: Medicare Enrolled Practice Location: 8 Vista Dr, Old Lyme, CT 06371 Phone: 860-434-8847 | |
Jay Allan Graves, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 | |
Terrence A Doherty, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 Fax: 860-865-2388 | |
Karl R. Friedmann, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 40 Coult Lane, Old Lyme, CT 06371 Phone: 860-434-2783 Fax: 860-434-2783 | |
Dr. Chadi Berjaoui, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 Halls Rd, Old Lyme, CT 06371 Phone: 860-434-8300 Fax: 860-865-2388 | |
Anisha Rajesh Parekh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Vista Dr, Eastport North Business Park, Old Lyme, CT 06371 Phone: 860-434-8847 Fax: 860-434-0428 |