Daniel J Passeri, MD | |
888 White Plains Rd, Suite 206, Trumbull, CT 06611-4552 | |
(203) 459-8555 | |
(203) 459-2666 |
Full Name | Daniel J Passeri |
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Gender | Male |
Speciality | Surgery |
Location | 888 White Plains Rd, Trumbull, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326093311 | NPI | - | NPPES |
001196310 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 019631 (Connecticut) | Primary |
Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720037385 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000426 |
Entity Name | Beth Israel Deaconess Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827 |
Mailing Address | Practice Location Address |
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Daniel J Passeri, MD 888 White Plains Rd, Suite 206, Trumbull, CT 06611-4552 Ph: (203) 459-8555 | Daniel J Passeri, MD 888 White Plains Rd, Suite 206, Trumbull, CT 06611-4552 Ph: (203) 459-8555 |
Shareef Jandali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave, Suite Wp-2-300, Trumbull, CT 06611 Phone: 203-374-0310 Fax: 203-374-0314 | |
Timothy B Ehrlich Ii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 115 Technology Drive, Suite C100, Trumbull, CT 06611 Phone: 203-899-0744 Fax: 203-268-6779 | |
Melanie A Lynch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5520 Park Ave Ste 1-500, Trumbull, CT 06611 Phone: 203-254-2381 Fax: 203-337-8788 | |
Ahmad Fotovat, MD Surgery Medicare: Medicare Enrolled Practice Location: 115 Technology Dr, C-100, Trumbull, CT 06611 Phone: 203-268-5212 Fax: 203-268-6779 |