| Timothy A Ledean, DO | |
|
263 Farmington Ave, Farmington, CT 06030-8082 | |
| (860) 679-4992 | |
| (860) 679-3334 |
| Full Name | Timothy A Ledean |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093893570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 20A8463 (California) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 077345 (Connecticut) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy A Ledean, DO 263 Farmington Ave, Farmington, CT 06030-8082 Ph: (860) 679-4992 | Timothy A Ledean, DO 263 Farmington Ave, Farmington, CT 06030-8082 Ph: (860) 679-4992 |
Martin G Cherniack, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2893 Fax: 860-679-4587 | |
Kenneth Dangman, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2893 | |
Nauman Jameel Mufti, MD, MPH Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2 Bridgewater Rd, Suite 100, Farmington, CT 06032 Phone: 860-678-9900 Fax: 860-678-9901 | |
Linganatha Anil Adisesh, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave Dept Of, Farmington, CT 06030 Phone: 860-679-8619 | |
Dr. Genevieve Montagu Von Walstrom, MD, MPH Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Farmington Ave, Farmington, CT 06032 Phone: 860-674-4334 |