| Lorena Vasquez, | |
|
267 Grant St, Bridgeport, CT 06610-2805 | |
| (203) 482-2383 | |
| Not Available |
| Full Name | Lorena Vasquez |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 267 Grant St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811606072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Northeast Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorena Vasquez, 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 482-2383 | Lorena Vasquez, 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 482-2383 |
Jacquelyn Davis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4553 | |
Ms. Amy Dicioccio, RD, CSO, CD-N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4553 Fax: 203-384-3578 | |
Sarah Noelle Lombino, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3070 | |
Nimesh Bhargava, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000 | |
Deborah Ventricelli, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-5208 | |
Miss Christina Conte, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 276 Grant Street, Food And Nutrition Services, Bridgeport, CT 06610 Phone: 203-384-4553 | |
Anne Worthington, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-5545 |