| Scovill Medical Group, Pc | |
|
56 Franklin St Waterbury CT 06706-1221 | |
| (203) 709-8888 | |
| (203) 709-8689 |
| Full Name | Scovill Medical Group, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 56 Franklin St, Waterbury, Connecticut |
| Authorized Official Name and Position | Franco Galasso (PRESIDENT) |
| Authorized Official Contact | 2035979410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scovill Medical Group, Pc 56 Franklin St Fl 3 Waterbury CT 06706-1221 Ph: (203) 709-8873 | Scovill Medical Group, Pc 56 Franklin St Waterbury CT 06706-1221 Ph: (203) 709-8888 |
| NPI Number | 1114929379 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 12/17/2007 |
| Medicare PECOS PAC ID | 1052218963 |
|---|---|
| Medicare Enrollment ID | O20031218000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114929379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edgar Catala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053369819 PECOS PAC ID: 6002852811 Enrollment ID: I20050701000507 |
| Provider Name | Franco Galasso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174573539 PECOS PAC ID: 9032122759 Enrollment ID: I20060725000443 |
| Provider Name | Ralph V Tremaglio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053360305 PECOS PAC ID: 1052324431 Enrollment ID: I20060802000031 |
| Provider Name | Fausto M Lanao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801844675 PECOS PAC ID: 5496895534 Enrollment ID: I20091221000398 |
| Provider Name | Leslie Coopersmith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801844147 PECOS PAC ID: 9931249794 Enrollment ID: I20091229000623 |
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