Harry Ma (NPI# 1174763957, PAC ID# 7911043351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1174763957 |
| PAC ID by PECOS | 7911043351 |
| Professional Enrollment ID | I20161021001338 |
| Full Name | Harry Ma |
| Organization Legal Name | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| Address |
2 Shaws Cv New London CT 06320-4975 |
| Phone Number | 8607720380 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2004 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 8527951532 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| 410013 | WESTERLY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Shaws Cv, New London, CT 06320-4975 | 8607720380 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| 113 Salem Tpke, Suite 1, Norwich, CT 06360-6484 | 8602375458 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| 4 Huntley Rd, Suite 1, Old Lyme, CT 06371-1449 | 8604344073 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| 495 Hawley Ln, 2a, Stratford, CT 06614-1514 | 2032106340 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| 70 Kenyon Ave, Unit 216, Wakefield, RI 02879-4241 | 4016618088 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| 46 Wells St, Westerly, RI 02891-2924 | 4013159575 | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| Organization Legal Name | SOUTHERN CONNECTICUT VASCULAR CENTER LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan N Bowman | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
| Richard Martin Margules | General Surgery | Southern Connecticut Vascular Center LLC | 7 Germantown Rd, Suite 2b, Danbury, CT 06810-5000 |
| Ben Marsan | Vascular Surgery | Southern Connecticut Vascular Center LLC | 599 Middlesex Tpke, Old Saybrook, CT 06475-1201 |
| Ann Marie Williams | Physician Assistant | Southern Connecticut Vascular Center LLC | 236 Boston Post Rd, Orange, CT 06477-3236 |
| Jaime S Strachan | Vascular Surgery | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
| Trisha Erdman | Physician Assistant | Southern Connecticut Vascular Center LLC | 1449 Old Waterbury Rd, Suite 101, Southbury, CT 06488-3926 |
| Andrew Baxter | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
| Lee J Goldstein | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
| Jeffrey M Ranaudo | Vascular Surgery | Southern Connecticut Vascular Center LLC | 360 Tolland Tpke, Suite 1a, Manchester, CT 06042-1759 |
| Michael A Sergi | Vascular Surgery | Southern Connecticut Vascular Center LLC | 495 Hawley Ln, 2a, Stratford, CT 06614-1514 |
| Street Address |
2 SHAWS CV |
| City | NEW LONDON |
| State | CT |
| Zip | 06320-4975 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stratton Danes | Vascular Surgery | Southern Connecticut Vascular Center LLC | 2 Shaws Cv, New London, CT 06320-4975 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marileni Brisita | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Michelle A Gallerani | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Kathryn Rymsza | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Rachel Beckmann | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Jeffrey D Daley | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Kevin J O'reilly | Psychologist, Clinical | 400 Bayonet St, Suite 202, New London, CT 06320-2600 | |
| Kimberly A Kurey | Nurse Practitioner | 400 Bayonet St, New London, CT 06320-2600 | |
| Diane Joan Schrage | Clinical Social Worker | 400 Bayonet St, Suite 400, New London, CT 06320-2600 | |
| Patricia A Medling | Clinical Social Worker | 400 Bayonet St, Suite 202, New London, CT 06320-2600 | |
| George A Sprecace | Allergy/immunology | 400 Bayonet St, Ll2, New London, CT 06320-2600 | |
| Find all physicians in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | NEW LONDON + VASCULAR SURGERY |
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| 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.