| Mr Harold S Wright, PA | |
|
113 Elm St, Suite 302, Enfield, CT 06082-3700 | |
| (860) 741-3069 | |
| (860) 745-3864 |
| Full Name | Mr Harold S Wright |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 113 Elm St, Enfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548247091 | NPI | - | NPPES |
| 1548247090 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 001662 (Connecticut) | Primary |
| Entity Name | East Granby Family Practice LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154308229 PECOS PAC ID: 6709873144 Enrollment ID: O20040428000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Harold S Wright, PA 113 Elm St, Suite 302, Enfield, CT 06082-3700 Ph: (860) 741-3069 | Mr Harold S Wright, PA 113 Elm St, Suite 302, Enfield, CT 06082-3700 Ph: (860) 741-3069 |
Mrs. Melissa D'amato, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 140 Hazard Ave Ste 105, Enfield, CT 06082 Phone: 860-714-9733 Fax: 860-714-8136 |
Madeline Murphy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 170 Hazard Ave, Enfield, CT 06082 Phone: 860-749-2022 Fax: 860-763-1398 |
Brianna Mae Jarvis, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Hazard Ave, Enfield, CT 06082 Phone: 860-745-9911 |
Brian P Weber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Hazard Ave, Enfield, CT 06082 Phone: 860-745-9911 |
Marissa Cardell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 Hazard Ave Ste 2, Enfield, CT 06082 Phone: 860-698-6041 |
Mrs. Sarah Leigh Lasala, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 113 Elm St Ste 304, Enfield, CT 06082 Phone: 860-741-2225 Fax: 860-741-2229 |
Julie M Wondolowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Enfield St, Enfield, CT 06082 Phone: 860-741-6058 Fax: 860-741-6864 |