Dr Mary L Garibaldi, MD | |
64 Black Rock Ave, Bridgeport, CT 06605 | |
(203) 579-5000 | |
(203) 579-5113 |
Full Name | Dr Mary L Garibaldi |
---|---|
Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 64 Black Rock Ave, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629100086 | NPI | - | NPPES |
004234788 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 64005 (Connecticut) | Primary |
Entity Name | Community Care Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary L Garibaldi, MD 64 Black Rock Ave, Bridgeport, CT 06605-1200 Ph: (203) 579-5000 | Dr Mary L Garibaldi, MD 64 Black Rock Ave, Bridgeport, CT 06605 Ph: (203) 579-5000 |
Jane Jeehyun Kwon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3715 Main St, Bridgeport, CT 06606 Phone: 203-371-7111 Fax: 203-372-5636 | |
Joanna Zolkowski-wynne, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610 Phone: 203-384-3873 Fax: 203-384-3829 | |
Dr. Dara Thomas Richards, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 968 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-330-6000 Fax: 203-339-7190 | |
Tatiana Zinchuk, Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Dr. Andrea B Hagani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2600 Main St, Suite 215, Bridgeport, CT 06606 Phone: 203-452-8322 Fax: 203-452-2296 | |
Dr. Benjamin H Tsang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-968-0673 | |
Mr. Joseph Albert Vitterito Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 Fax: 860-545-8945 |