| Mr Leo Joseph Distefano Iii, MD | |
|
970 Farmington Avenue, Suite 201, West Hartford, CT 06107 | |
| (860) 561-4300 | |
| (860) 561-1635 |
| Full Name | Mr Leo Joseph Distefano Iii |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 970 Farmington Avenue, West Hartford, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760453724 | NPI | - | NPPES |
| 735010 | Other | CT | CONNECTICARE |
| 00133656100 | Medicaid | CT | |
| 01003365CT01 | Other | CT | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 033656 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Leo Joseph Distefano Iii, MD 970 Farmington Avenue, Suite 201, West Hartford, CT 06107 Ph: (860) 561-4300 | Mr Leo Joseph Distefano Iii, MD 970 Farmington Avenue, Suite 201, West Hartford, CT 06107 Ph: (860) 561-4300 |
Dr. Susan Owen Perks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 N Main St Ste 248, West Hartford, CT 06117 Phone: 860-231-8345 Fax: 860-523-4061 | |
Dr. Jennifer S Wilner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 785 Farmington Ave, West Hartford, CT 06119 Phone: 860-523-4100 Fax: 860-523-1462 | |
Dr. Allyson N Duffy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 North Main St, Ste 248, West Hartford, CT 06117 Phone: 860-231-8453 Fax: 860-523-4061 | |
Dr. Tilak C Gooneratne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 N Main St, Ste 248, West Hartford, CT 06117 Phone: 860-231-8453 Fax: 860-523-4061 | |
Yanet Ravelo, Pediatrics Medicare: Medicare Enrolled Practice Location: 1216 Farmington Ave Ste 202, West Hartford, CT 06107 Phone: 860-236-0331 | |
Dr. Nima G Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81 S Main St, #5, West Hartford, CT 06107 Phone: 860-521-4044 | |
Thomas Newman Fromson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 785 Farmington Ave, West Hartford, CT 06119 Phone: 860-523-4100 Fax: 860-523-0086 |