Individual ProviderNeil H WassermanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address300 Kensington Ave, Grove Hill Medical Center, New Britain, CT 06051-3916(860) 832-8150PECOS EnrollmentBased on the most recent information from CMS, provider Neil H Wasserman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1285621250Provider TypeIndividualFull NameWasserman, Neil HTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/4/2005Last Updated7/9/2007Contact InformationPractice LocationPractice Address300 Kensington Ave, Grove Hill Medical Center, New Britain, CT 06051-3916Phone(860) 832-8150Fax(860) 224-6298Mailing LocationMailing Address300 Kensington Ave, Grove Hill Medical Center, New Britain, CT 06051-3916Phone(860) 832-8150Fax(860) 224-6298Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense026402ConnecticutProvider IdentifiersIDDescriptionIssuerID061278DescriptionOtherIssuerAETNAConnecticutID1255448155DescriptionOtherIssuerGHMC GROUP NPI IDConnecticutID060039DescriptionOtherIssuerHEALTH NETConnecticutID135657DescriptionOtherIssuerWELLCARE MEDICAREConnecticutID01326402DescriptionOtherIssuerCIGNAConnecticutIDP369851DescriptionOtherIssuerOXFORDConnecticutID010026402CT04DescriptionOtherIssuerBCBS & BCFP IDConnecticutID05061203DescriptionOtherIssuerCONNECTICAREConnecticut