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Gary J. Dee

Radiology

Allopathic & Osteopathic Physicians

863 N Main Street Ext, Wallingford, CT 06492-2434

PECOS Enrollment

This provider is enrolled in PECOS as GARY DEE.

Based on the most recent information from CMS, provider Gary J. Dee 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
1629052519
Provider Type
Individual
Full Name
Dee, Gary J.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
12/4/2005
Last Updated
3/21/2014

Contact Information

Practice Location

863 N Main Street Ext, Wallingford, CT 06492-2434

(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 026366 Connecticut

Gary J. Dee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hajedemos, Harry

Bisceglia, Michael

Meriden Imaging Center

Meriden Imaging Center, Inc.

Dey, Holley

Durhan, Linda

Carroll, James

Prete, Christina

Friar, Mary

Weiss, Laurence