Dr Lisa Ann Deangelis, MD | |
220 Kennedy Dr, Torrington, CT 06790-7204 | |
(860) 482-8578 | |
Not Available |
Full Name | Dr Lisa Ann Deangelis |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 220 Kennedy Dr, Torrington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891993192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | C171657 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Ann Deangelis, MD 1 Quality Dr, Vacaville, CA 95688-9494 Ph: (707) 624-3800 | Dr Lisa Ann Deangelis, MD 220 Kennedy Dr, Torrington, CT 06790-7204 Ph: (860) 482-8578 |
Stefanie L Durstin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 Kennedy Drive, Torrington, CT 06790 Phone: 860-482-8578 Fax: 860-482-3774 | |
Corey Michelle Teagarden, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 780 Litchfield St, Torrington, CT 06790 Phone: 614-544-2091 | |
Mr. Burt M Mashburn, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 538 Litchfield St, Ste 202, Torrington, CT 06790 Phone: 860-489-1038 Fax: 860-496-4094 | |
David Craig Stekler, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 Kennedy Drive, Torrington, CT 06790 Phone: 860-482-8578 Fax: 860-482-3774 | |
John Patrick Mckeon, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 220 Kennedy Drive, Torrington, CT 06790 Phone: 860-482-8578 Fax: 860-482-3774 | |
Mr. Boris J. Sawula, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 538 Litchfield St, Ste 202, Torrington, CT 06790 Phone: 860-489-1038 Fax: 860-496-4094 |