Look up the most recent NPI and PECOS records

Harry Hajedemos

Radiology

Allopathic & Osteopathic Physicians

97 Barnes Rd, Wallingford, CT 06492-1885

PECOS Enrollment

Based on the most recent information from CMS, provider Harry Hajedemos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1245214881
Provider Type
Individual
Full Name
Hajedemos, Harry
Credential
M.D.

Gender
Male
Enumeration Date
12/6/2005
Last Updated
7/8/2007

Contact Information

Practice Location

97 Barnes Rd, Wallingford, CT 06492-1885

(203) 949-2700

(203) 949-2712

Mailing Location

101 N Plains Industrial Rd, Wallingford, CT 06492-2360

(203) 949-2700

(203) 949-2712

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 029190 Connecticut

Harry Hajedemos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Durhan, Linda

Bisceglia, Michael

Friar, Mary

Meriden Imaging Center

Carroll, James

Dee, Gary J.

Dey, Holley

Prete, Christina

Borsuk, Sherwin

Meriden Imaging Center, Inc.