MEDICARE: SAMUEL WERNER D.O.

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	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	71101	CT
2	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	25MB11231200	NJ
3	207Q00000X	Family Medicine Physician	25MB11231200	NJ
4	207Q00000X	Family Medicine Physician	OT017661	PA
5	207Q00000X	Family Medicine Physician	71101	CT

General Provider Information

NPI Number	:	1942735659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL WERNER D.O.

Provider Business Mailing Address
First Line	:	342 N MAIN ST STE 350
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06117-2500
Country	:	US
Telephone Number	:	860-331-3016
Fax Number	:	860-331-3019

Provider Business Practice Location Address
First Line	:	342 N MAIN ST STE 350
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06117-2500
Country	:	US
Telephone Number	:	860-331-3016
Fax Number	:	860-331-3019

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

Provider Enumeration Date	:	05/01/2017
Last Update Date	:	11/22/2022

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1477663920 — DR. ROY W. SHAKUN DMD
Practice Location Address:

342 N MAIN ST , SUITE 300
WEST HARTFORD, CT
06117-2500

Practice Phone: 860-233-0552
Practice Fax: 860-233-9614

1194823575 — JOAN L RISHEL PA-C
Practice Location Address:

342 N MAIN ST STE 350
WEST HARTFORD, CT
06117-2500

Practice Phone: 860-296-4022
Practice Fax: 860-772-0095

1932236775 — SUBURBAN PHARMACY LTC INC
Practice Location Address:

342 N MAIN ST , STE 70
WEST HARTFORD, CT
06117-2500

Practice Phone: 860-882-1808
Practice Fax: 860-882-1791

1487838330 — WEST HARTFORD FAMILY DENTISTRY
Practice Location Address:

342 N MAIN ST , SUITE # 300
WEST HARTFORD, CT
06117-2500

Practice Phone: 860-233-0552
Practice Fax: 860-233-9614

1972808087 — MR. RUDY DAJIE PHARM D
Practice Location Address:

342 N MAIN ST STE 70
WEST HARTFORD, CT
06117-2500

Practice Phone: 860-236-3564
Practice Fax: 860-882-1791

Directions to “ SAMUEL WERNER D.O.” 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.