Dr Damianos Kokkinidis, MD | |
196 Parkway South, Suite 103, Waterford, CT 06385 | |
(860) 443-4383 | |
Not Available |
Full Name | Dr Damianos Kokkinidis |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 196 Parkway South, Waterford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477084838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 66150 (Connecticut) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 1.066150 (Connecticut) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
Mailing Address | Practice Location Address |
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Dr Damianos Kokkinidis, MD 196 Parkway South, Suite 103, Waterford, CT 06385 Ph: (860) 443-4383 | Dr Damianos Kokkinidis, MD 196 Parkway South, Suite 103, Waterford, CT 06385 Ph: (860) 443-4383 |
Meghana Rao Brito, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 Phone: 860-443-4383 | |
Jon C Gaudio, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway South, Suite 103, Waterford, CT 06385 Phone: 860-443-4383 Fax: 860-448-6797 | |
Dr. Mithlesh Govil, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 196 Parkway S, Suite 303, Waterford, CT 06385 Phone: 860-443-4455 Fax: 860-447-8961 | |
Mark N Fiengo, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway S, Suite 103, Waterford, CT 06385 Phone: 860-443-4383 Fax: 860-443-3980 | |
Mark Somers, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway South, Suite 103, Waterford, CT 06385 Phone: 860-443-4383 Fax: 860-443-3980 | |
Benjamin R Newton, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 230 Waterford Parkway South, Suite 201, Waterford, CT 06385 Phone: 860-444-3744 Fax: 860-271-4457 | |
Valerie Popkin, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 196 Parkway S, Suite 103, Waterford, CT 06385 Phone: 860-443-4383 Fax: 860-443-3980 |