Dr Logan M Petit, MD | |
2408 Whitney Ave, Hamden, CT 06518-3209 | |
(203) 407-3500 | |
(203) 407-4244 |
Full Name | Dr Logan M Petit |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 2408 Whitney Ave, Hamden, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174052682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD18379 (Rhode Island) | Secondary |
207X00000X | Orthopaedic Surgery | 75696 (Connecticut) | Primary |
Entity Name | University Orthopedics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235181041 PECOS PAC ID: 9931000395 Enrollment ID: O20040119000129 |
Mailing Address | Practice Location Address |
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Dr Logan M Petit, MD 2408 Whitney Ave, Hamden, CT 06518-3209 Ph: (203) 626-0160 | Dr Logan M Petit, MD 2408 Whitney Ave, Hamden, CT 06518-3209 Ph: (203) 407-3500 |
Dr. Nicola Shamsey Corbett, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9 Washington Ave Fl 1-a, Hamden, CT 06518 Phone: 203-865-6784 Fax: 203-865-6788 | |
Dr. Louis Iorio, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9 Washington Ave, Hamden, CT 06518 Phone: 203-865-6784 Fax: 203-865-6788 | |
Dr. Shirvinda A Wijesekera, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9 Washington Ave Fl 1a, Hamden, CT 06518 Phone: 203-865-6784 Fax: 203-865-6788 | |
Dr. Rowland B Mayor, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2416 Whitney Ave Ste 3, Hamden, CT 06518 Phone: 203-752-3100 Fax: 203-752-9291 | |
Dr. John F Irving, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9 Washington Ave Fl 1-a, Hamden, CT 06518 Phone: 203-865-6784 Fax: 203-865-6788 | |
Mark W Scanlan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2408 Whitney Ave, Hamden, CT 06518 Phone: 203-407-3539 Fax: 203-287-7316 | |
Dr. Glenn Scott Russo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2408 Whitney Ave, Hamden, CT 06518 Phone: 203-407-3508 Fax: 203-672-0842 |