Dr Robert Jerry Petrillo, DO | |
80 Seymour St, Hartford, CT 06106-3300 | |
(860) 545-5000 | |
Not Available |
Full Name | Dr Robert Jerry Petrillo |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 80 Seymour St, 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 |
---|---|---|---|
1861953002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 76176 (Connecticut) | Primary |
207L00000X | Anesthesiology | 1013106 (Massachusetts) | Secondary |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Jerry Petrillo, DO 100 Retreat Ave Ste 900, Hartford, CT 06106-2553 Ph: (860) 218-2204 | Dr Robert Jerry Petrillo, DO 80 Seymour St, Hartford, CT 06106-3300 Ph: (860) 545-5000 |
Phillip Dennen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-6654 Fax: 860-714-8110 | |
Frank J Setter, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-6654 Fax: 860-714-8110 | |
Nitish Gupta, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
Adam Jason Sachs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 516-521-8645 | |
Marco Antonio Castillo Rodriguez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 601-815-3535 | |
Ethan Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
Roxanne Zarmsky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-6654 Fax: 860-714-8110 |