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 15 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