Alicia Masucci, MD | |
28 East Ave, New Canaan, CT 06840-5516 | |
(203) 855-3757 | |
Not Available |
Full Name | Alicia Masucci |
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Gender | Female |
Speciality | Internal Medicine |
Location | 28 East Ave, New Canaan, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992333777 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 74212 (Connecticut) | Primary |
Entity Name | Nuvance Health Medical Practice Ct Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407898117 PECOS PAC ID: 4789597691 Enrollment ID: O20031205000130 |
Mailing Address | Practice Location Address |
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Alicia Masucci, MD 28 East Ave, New Canaan, CT 06840-5516 Ph: (203) 855-3757 | Alicia Masucci, MD 28 East Ave, New Canaan, CT 06840-5516 Ph: (203) 855-3757 |
Jerusha E Stahl, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 69 Grove St, New Canaan, CT 06840 Phone: 844-359-8363 | |
Denise K Lautenbach, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 194 South Ave, New Canaan, CT 06840 Phone: 203-966-8079 Fax: 203-966-8223 | |
Dr. Deena Rachel Ebright, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Grove St, 1st Floor, New Canaan, CT 06840 Phone: 203-966-6305 Fax: 203-966-4618 | |
Yesha Gandhi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Grove St, 1st Floor, New Canaan, CT 06840 Phone: 203-966-6305 | |
Richard E Westfal, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 173 East Ave, New Canaan, CT 06840 Phone: 203-972-4255 Fax: 203-801-2126 | |
James A Slater, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 173 East Avenue, New Canaan, CT 06840 Phone: 203-966-7030 Fax: 203-766-6253 | |
Peter M Shutkin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 173 East Avenue, New Canaan, CT 06840 Phone: 203-972-4255 Fax: 203-801-2126 |