Vincent Paul Desantis, MD | |
15 Riverside Ave, Bristol, CT 06010-6312 | |
(860) 516-7593 | |
Not Available |
Full Name | Vincent Paul Desantis |
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Gender | Male |
Speciality | Internal Medicine |
Location | 15 Riverside Ave, Bristol, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1972063741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 71105 (Connecticut) | Primary |
Entity Name | Bristol Hospital Multi-specialty Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649265679 PECOS PAC ID: 9032014758 Enrollment ID: O20031204000960 |
Mailing Address | Practice Location Address |
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Vincent Paul Desantis, MD 506 6th St, Brooklyn, NY 11215-3609 Ph: (718) 780-3000 | Vincent Paul Desantis, MD 15 Riverside Ave, Bristol, CT 06010-6312 Ph: (860) 516-7593 |
Ronald S Green, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010 Phone: 860-583-9252 Fax: 860-585-9848 | |
Daniel Norman Smiley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010 Phone: 860-583-9252 Fax: 860-585-9848 | |
Dr. Michael Owen Richards, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3000 | |
Michael Stephen Ptaszynski, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Newell Rd, #d-25, Bristol, CT 06010 Phone: 860-314-6020 Fax: 860-314-6024 | |
Dr. Robert C Debiase, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite D24, Bristol, CT 06010 Phone: 860-582-3235 Fax: 860-582-0692 | |
Dr. Nandini Ravindra Menon, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Maple St, Bristol, CT 06010 Phone: 860-584-8021 Fax: 860-584-9021 | |
Christopher Wakem, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 44 Brewster Road, Hem/oncology Dept., Level A, Bristol, CT 06010 Phone: 860-585-3000 Fax: 860-585-3907 |