Dr Peter Paul Bertolozzi Jr, DO | |
255 Michelle Ln, Apt 306, Groton, CT 06340-4239 | |
(617) 448-1589 | |
Not Available |
Full Name | Dr Peter Paul Bertolozzi Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 17 Years |
Location | 255 Michelle Ln, Groton, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588841068 | NPI | - | NPPES |
5315031607 | Other | MI | CONTROLLED SUBSTANCE LIS |
5101017291 | Other | MI | EDUCATION LISCENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 49914 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Westerly Hospital | Westerly, RI | Hospital |
Lawrence & Memorial Hospital | New london, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lawrence And Memorial Hospital Inc. | 5991792053 | 37 |
Lmw Healthcare Inc | 7012155112 | 19 |
Entity Name | Manchester Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457399198 PECOS PAC ID: 4486647534 Enrollment ID: O20040406000161 |
Entity Name | Lawrence And Memorial Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073530879 PECOS PAC ID: 5991792053 Enrollment ID: O20040429001142 |
Entity Name | Emergency Medicine Physicians Of New Haven County Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083910962 PECOS PAC ID: 4284819764 Enrollment ID: O20110427000166 |
Entity Name | Prospect Manchester Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter Paul Bertolozzi Jr, DO 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 442-0711 | Dr Peter Paul Bertolozzi Jr, DO 255 Michelle Ln, Apt 306, Groton, CT 06340-4239 Ph: (617) 448-1589 |