| Vitalized Performance Group | |
|
212 New London Tpke Ste D, Glastonbury, CT 06033-4202 | |
| (860) 430-2342 | |
| (860) 430-2342 |
| Full Name | Vitalized Performance Group |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 212 New London Tpke Ste D, Glastonbury, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467180299 | NPI | - | NPPES |
| 1427201540 | Medicaid | CT | |
| 1609232081 | Medicaid | CT | |
| 1992858583 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalized Performance Group 212 New London Tpke Ste D, Glastonbury, CT 06033-4202 Ph: (860) 430-2342 | Vitalized Performance Group 212 New London Tpke Ste D, Glastonbury, CT 06033-4202 Ph: (860) 430-2342 |
Konstandina Angela Gialalidis, L.AC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1218 New London Tpke, Glastonbury, CT 06033 Phone: 860-977-4837 | |
Tam Nguyen, L.AC DIPL. OM Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 100 Sycamore St Unit 2, Glastonbury, CT 06033 Phone: 860-633-6022 | |
Dr. Debra Kovacs, DOM, LICAC, RN Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 91 Woodhaven Rd, Glastonbury, CT 06033 Phone: 860-633-5395 | |
Ms. Jennifer Lee Dubicki, LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 212 New London Turnpike Suite D, Glastonbury, CT 06033 Phone: 860-430-2342 | |
Dr. William Koo, Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 2839 Main St, Glastonbury, CT 06033 Phone: 860-633-1000 | |
Guljan Nurmuradova, Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 100 Sycamore St Unit 2, Glastonbury, CT 06033 Phone: 860-633-6022 |