| Van T Phan, | |
| 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 | |
| (860) 358-2470 | |
| Not Available | 
| Full Name | Van T Phan | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism | 
| Location | 540 Saybrook Rd Ste 210, Middletown, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356845036 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 74145 (Connecticut) | Primary | 
| Entity Name | Middlesex Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972563138 PECOS PAC ID: 5092611731 Enrollment ID: O20031216000592 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Van T Phan, 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 Ph: (860) 358-2470 | Van T Phan, 540 Saybrook Rd Ste 210, Middletown, CT 06457-4759 Ph: (860) 358-2470 | 
| Dr. Miklos C. Fogarasi, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 536 Saybrook Rd, Middletown, CT 06457 Phone: 860-358-2220 Fax: 860-358-2222 | |
| George Agyapong, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-262-5128 | |
| Lisa Ochola-tinker, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 28 Crescent St, Middletown, CT 06457 Phone: 860-358-5322 Fax: 860-358-6298 | |
| Dr. Mohammed Al-damluji, MD, MPH Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 420 Saybrook Rd Ste A, Middletown, CT 06457 Phone: 860-636-2010 Fax: 860-636-2024 | |
| Jude F Clancy, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 420 Saybrook Rd, Middletown, CT 06457 Phone: 203-678-1050 Fax: 860-696-2045 | |
| Dr. James Kar-kee Yue, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 760 Saybrook Rd, Middletown, CT 06457 Phone: 860-347-3304 Fax: 860-346-8245 | |
| Mario Q Ricci Jr., MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 410 Saybrook Rd, Suite 201, Middletown, CT 06457 Phone: 860-347-4620 Fax: 860-346-9687 |