| Dr Robert Fc Larosa, | |
|
357 Main St S, Pob 593, Woodbury, CT 06798-3408 | |
| (203) 263-5575 | |
| Not Available |
| Full Name | Dr Robert Fc Larosa |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 357 Main St S, Woodbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154545846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6617 (Connecticut) | Primary |
| Entity Name | Staywell Health Care Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Fc Larosa, Po Box 593, 357 Main St South, Woodbury, CT 06798-0593 Ph: () - | Dr Robert Fc Larosa, 357 Main St S, Pob 593, Woodbury, CT 06798-3408 Ph: (203) 263-5575 |
Dr. Lance Eric Banwell, DDS Dentist Medicare: Medicare Enrolled Practice Location: 387 Main St S, Woodbury, CT 06798 Phone: 203-263-5300 Fax: 203-263-4327 | |
Gilbert I. Rubin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 84 Main St S, Woodbury, CT 06798 Phone: 203-263-2853 Fax: 203-263-2864 | |
James B Marshall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 357 Main Street South, Woodbury, CT 06798 Phone: 203-263-2681 | |
Mr. James Saar Bauer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 40 Main St N, Woodbury, CT 06798 Phone: 203-263-4402 Fax: 203-263-6211 | |
Andrew Nicholas Blackwell, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 387 Main St S, Woodbury, CT 06798 Phone: 203-263-5300 |