| Mark A. Perrotti,m.d.llc | |
|
251 W Main St Branford CT 06405-4047 | |
| (203) 481-0077 | |
| Not Available |
| Full Name | Mark A. Perrotti,m.d.llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 251 W Main St, Branford, Connecticut |
| Authorized Official Name and Position | Mark Anthony Perrotti (PRESIDENT) |
| Authorized Official Contact | 2034810077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Perrotti,m.d.llc 251 W Main St Branford CT 06405-4047 Ph: (203) 481-0077 | Mark A. Perrotti,m.d.llc 251 W Main St Branford CT 06405-4047 Ph: (203) 481-0077 |
| NPI Number | 1982637823 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1456364579 |
|---|---|
| Medicare Enrollment ID | O20060713000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982637823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 037644 (Connecticut) | Primary |
| Provider Name | Mark A Perrotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699723049 PECOS PAC ID: 5991718082 Enrollment ID: I20060712000178 |
| Provider Name | Amy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750617817 PECOS PAC ID: 5698946556 Enrollment ID: I20110926000487 |
| Provider Name | Alyssa Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336421171 PECOS PAC ID: 9436303518 Enrollment ID: I20130128000160 |
| Provider Name | Roseanna Petonito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679128102 PECOS PAC ID: 2668703786 Enrollment ID: I20191003002542 |
| Provider Name | Alexa Canavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669134045 PECOS PAC ID: 9739579822 Enrollment ID: I20211203001314 |
| Provider Name | Freddie Dayao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447967559 PECOS PAC ID: 8022489699 Enrollment ID: I20230118000571 |
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