Ms Theresa Integral Dy Djama, DPM | |
64 Black Rock Ave, Bridgeport, CT 06605-1200 | |
(203) 278-3210 | |
Not Available |
Full Name | Ms Theresa Integral Dy Djama |
---|---|
Gender | Female |
Speciality | Podiatry |
Experience | 9 Years |
Location | 64 Black Rock Ave, Bridgeport, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265828818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 1073 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimus Health Care Inc | 9335051580 | 63 |
Provider Name | Optimus Health Care Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669445946 PECOS PAC ID: 9335051580 Enrollment ID: O20031105000254 |
Provider Name | Pedirite Medical Ct Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316557309 PECOS PAC ID: 2062831191 Enrollment ID: O20200923001502 |
Mailing Address | Practice Location Address |
---|---|
Ms Theresa Integral Dy Djama, DPM 64 Black Rock Ave, Bridgeport, CT 06605-1200 Ph: (203) 579-5000 | Ms Theresa Integral Dy Djama, DPM 64 Black Rock Ave, Bridgeport, CT 06605-1200 Ph: (203) 278-3210 |
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