DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MDLIVE MEDICAL GROUP DE PA

MEDICARE: MDLIVE MEDICAL GROUP DE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1518605955
Entity Type Code : Organization
Provider Name (Legal Business Name) : MDLIVE MEDICAL GROUP DE PA
Provider Business Mailing Address
First Line : 3350 SW 148TH AVE STE 300
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-3259
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 900 COTTAGE GROVE RD
Second Line :
City : BLOOMFIELD
State : CT
Zip : 06002-2920
Country : US
Telephone Number : 800-400-6354
Fax Number :
Authorized Official
Title or Position : GOVERNMENT PROGRAMS PM
Name : SUE-ANN ADRIANS
Credential :
Telephone Number : 945-275-1345
Provider Enumeration Date : 05/25/2022
Last Update Date : 02/25/2026

Similar Medicare Providers

1053598896 — DR. TRACY M. BRENNER M.D.
Practice Location Address:
900 COTTAGE GROVE RD
BLOOMFIELD, CT
06002-2920
Practice Phone: 800-997-1654
Practice Fax:
1952566374 — PTSMA INC
Practice Location Address:
900 COTTAGE GROVE RD
BLOOMFIELD, CT
06002-2920
Practice Phone: 717-972-1100
Practice Fax:
1073844775 — DR. PAUL REUEL BELCHER PHARMD
Practice Location Address:
900 COTTAGE GROVE RD
BLOOMFIELD, CT
06002-2920
Practice Phone: 860-226-2493
Practice Fax:
1740541713 — EILEEN A SYTNYK CRNP
Practice Location Address:
900 COTTAGE GROVE RD
BLOOMFIELD, CT
06002-2920
Practice Phone: 860-226-4500
Practice Fax:
1992178115 — MDLIVE MEDICAL GROUP DE PA
Practice Location Address:
900 COTTAGE GROVE RD
BLOOMFIELD, CT
06002-2920
Practice Phone: 800-400-6354
Practice Fax:
1245978683 — MDLIVE MEDICAL GROUP DE PA
Practice Location Address:
900 COTTAGE GROVE RD
BLOOMFIELD, CT
06002-2920
Practice Phone: 800-400-6354
Practice Fax:

Directions to “MDLIVE MEDICAL GROUP DE PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.