Dr James John Matino, MD | |
1000 Asylum Ave, Suite 2118, Hartford, CT 06105-1770 | |
(860) 241-0870 | |
(860) 241-8296 |
Full Name | Dr James John Matino |
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Gender | Male |
Speciality | Surgery |
Location | 1000 Asylum Ave, Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063463313 | NPI | - | NPPES |
001194422 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 019442 (Connecticut) | Primary |
Entity Name | Trinity Health Of New England Provider Network Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
Entity Name | Healogics Specialty Physicians Of Connecticut Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720483415 PECOS PAC ID: 6709102999 Enrollment ID: O20150305001956 |
Mailing Address | Practice Location Address |
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Dr James John Matino, MD 1000 Asylum Ave, Suite 3207, Hartford, CT 06105-1770 Ph: (860) 249-8595 | Dr James John Matino, MD 1000 Asylum Ave, Suite 2118, Hartford, CT 06105-1770 Ph: (860) 241-0870 |
James Joseph Gallagher Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 85 Seymour St, Suite 409, Hartford, CT 06106 Phone: 860-522-4158 Fax: 860-524-2652 | |
Lindsay M Difelice, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 860-972-5022 | |
Alan David Drezner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-522-4158 Fax: 860-524-2652 | |
Dr. Jessica M Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St, Suite 415, Hartford, CT 06106 Phone: 860-246-2071 Fax: 860-524-2650 | |
Tracy Morales, DO Surgery Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Cb 101, Hartford, CT 06102 Phone: 860-545-4187 Fax: 860-545-2006 | |
Dr. Scheuster Emmanuel Christie, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Suite 4320, Hartford, CT 06105 Phone: 860-714-5237 Fax: 860-714-8311 |