Edward A Clerkin Iii (NPI# 1518999622, PAC ID# 2961543335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1518999622 |
| PAC ID by PECOS | 2961543335 |
| Professional Enrollment ID | I20100107000172 |
| Full Name | Edward A Clerkin Iii |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Address |
406 Farmington Ave Farmington CT 06032-1964 |
| Phone Number | 8606779624 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153573902 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070025 | HARTFORD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 406 Farmington Ave, Farmington, CT 06032-1964 | 8606779624 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| 55 Meriden Ave, Suite 1d, Southington, CT 06489-3239 | 8602765144 | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP INC |
| Physicians | 230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kefah Raed A Al-ramahi | Internal Medicine | Hartford Healthcare Medical Group Inc | 2 Northwestern Dr, Bloomfield, CT 06002-3480 |
| Laura Celeste Black | Internal Medicine | Hartford Healthcare Medical Group Inc | 336 N Main St, West Hartford, CT 06117-2675 |
| Surayda J Herrera | Internal Medicine | Hartford Healthcare Medical Group Inc | 5 Founders Dr, Willimantic, CT 06226-2048 |
| Aimee C Eaton | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 39 Kennedy Dr, Suite D, Putnam, CT 06260-1957 |
| Daniela M La Rosa | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 23 Liberty Dr, Suite A, Hebron, CT 06248-1553 |
| Lori D Lerner | Family Medicine | Hartford Healthcare Medical Group Inc | 1060 Day Hill Rd, Suite 202, Windsor, CT 06095-5720 |
| Kulsoom H Maudoodi | Internal Medicine | Hartford Healthcare Medical Group Inc | 100 Hazard Ave, Suite 101, Enfield, CT 06082-5447 |
| Sarah J Robertson | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 676 Hebron Ave, Glastonbury, CT 06033-2410 |
| Sarah Louise Tyler | Nurse Practitioner | Hartford Healthcare Medical Group Inc | 324 Flanders Rd, East Lyme, CT 06333-1735 |
| Manju M John | Internal Medicine | Hartford Healthcare Medical Group Inc | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 |
| Street Address |
406 FARMINGTON AVE |
| City | FARMINGTON |
| State | CT |
| Zip | 06032-1964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marybeth A Moore | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Helen I Anaedo | Endocrinology | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Catherine Gormley | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Erin Cardon | Internal Medicine | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Jaime P Moskowitz | Internal Medicine | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Roger El-hachem | Internal Medicine | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Aashish G Samat | Endocrinology | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Megan S Stock | Physician Assistant | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Priya Phulwani | Endocrinology | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Ralph Giarnella | Internal Medicine | Hartford Healthcare Medical Group Inc | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter G Walden | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
| Paul R Mitchell | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Farmington, CT 06032 |
| Majida Gaffar | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
| Mary Ellen Campbell | Registered Dietitian Or Nutrition Professional | 5 Eastview Dr, Farmington, CT 06032-1231 | |
| Carrie L Lukens | Clinical Psychologist | Hartford Hospital | 20 Devonwood Dr, Farmington, CT 06032-1417 |
| Kurt Fuchs | Clinical Social Worker | 2 Forest Park Dr, Farmington, CT 06032-1445 | |
| Sandra R Summer | Clinical Social Worker | 6 Forest Park Dr, Suite 2, Farmington, CT 06032-1467 | |
| Christopher A Wallace | Pathology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
| Diane M Hoss | Dermatology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
| Gerard M Nolan | Ophthalmology | 1 Forest Park Dr, Farmington, CT 06032-1487 | |
| Find all physicians in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FARMINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Edward A Clerkin Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.