MEDICARE: PHYLLIS A. HOLTZMAN M.D.

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
1	208000000X	Pediatrics Physician	029092	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	029092	OTHER	CONNECTICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	01029092	OTHER	CIGNA
4	031504	OTHER	HEALTH NET
5	NLP017	OTHER	OXFORD
6	010029092CT01	OTHER	BLUE CROSS

General Provider Information

NPI Number	:	1881783348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHYLLIS A. HOLTZMAN M.D.

Provider Business Mailing Address
First Line	:	1527 ROUTE 12
Second Line	:	PO BOX 608
City	:	GALES FERRY
State	:	CT
Zip	:	06335-1800
Country	:	US
Telephone Number	:	860-464-7248
Fax Number	:	860-464-0125

Provider Business Practice Location Address
First Line	:	1527 ROUTE 12
Second Line	:
City	:	GALES FERRY
State	:	CT
Zip	:	06335-1800
Country	:	US
Telephone Number	:	860-464-7248
Fax Number	:	860-464-0125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1457351017 — KATHLEEN MARY OCONNOR A.P.R.N.
Practice Location Address:

1527 ROUTE 12
GALES FERRY, CT
06335-1800

Practice Phone: 860-464-7253
Practice Fax: 860-464-7404

1215916564 — DR. JOHN JOSEPH HENNESSEY M.D.
Practice Location Address:

1527 ROUTE 12 , SUITE 1
GALES FERRY, CT
06335-1800

Practice Phone: 860-464-7253
Practice Fax: 860-464-7404

1669451894 — DR. SANFORD ALAN GREENHOUSE M.D.
Practice Location Address:

1527 ROUTE 12
GALES FERRY, CT
06335-1800

Practice Phone: 860-464-7253
Practice Fax: 860-464-7404

1548359078 — CHARLES R ESPOSITO M.D.
Practice Location Address:

1527 ROUTE 12
GALES FERRY, CT
06335-1800

Practice Phone: 860-464-7248
Practice Fax: 860-464-0125

1144319690 — MARK A. ROSENTHAL M.D.
Practice Location Address:

1527 ROUTE 12 , BOX 608
GALES FERRY, CT
06335-1800

Practice Phone: 860-464-7248
Practice Fax: 860-464-0125

1922197482 — STEVEN H. FORSTEIN M.D.
Practice Location Address:

1527 ROUTE 12
GALES FERRY, CT
06335-1800

Practice Phone: 860-464-7248
Practice Fax: 860-464-0125

Directions to “ PHYLLIS A. HOLTZMAN M.D.” 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.