| Todd Glen Hastings, DO | |
| 1 Wahoo Ave # 600, Groton, CT 06349-2324 | |
| (860) 694-4910 | |
| Not Available | 
| Full Name | Todd Glen Hastings | 
|---|---|
| Gender | Male | 
| Speciality | Preventive Medicine - Occupational Medicine | 
| Location | 1 Wahoo Ave # 600, Groton, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386955060 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 0102202888 (Virginia) | Primary | 
| Entity Name | St Lukes Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Todd Glen Hastings, DO 115 Proteus Ave, Groton, CT 06340-2812 Ph: (307) 438-1428 | Todd Glen Hastings, DO 1 Wahoo Ave # 600, Groton, CT 06349-2324 Ph: (860) 694-4910 | 
| Robert P Hurley, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 75 Eastern Point Rd, Department 644, Station A97-1, Groton, CT 06340 Phone: 860-433-1019 Fax: 860-433-0639 | |
| Gregory Archible Adams, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Crystal Lake Rd, Groton, CT 06349 Phone: 860-694-3011 | |
| Dr. Shrikant R Deshpande, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 52 Hazelnut Hill Rd, 52 Hazelnut Hill Road, Groton, CT 06340 Phone: 860-446-8265 Fax: 860-448-6961 |