| Deanna B Tocco, MD | |
|
2207 Boston Road, Wilbraham, MA 01095 | |
| (413) 599-1201 | |
| (413) 596-2940 |
| Full Name | Deanna B Tocco |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2207 Boston Road, Wilbraham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760745087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MT201281 (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | MD454595 (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | 57172 (Connecticut) | Primary |
| Entity Name | Prohealth Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Deanna B Tocco, MD 2207 Boston Road, Wilbraham, MA 01095 Ph: (413) 599-1201 | Deanna B Tocco, MD 2207 Boston Road, Wilbraham, MA 01095 Ph: (413) 599-1201 |
Kimberly Anne Dewey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940 | |
Dr. Thirza C Lareau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940 | |
George Frank Vitek, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940 | |
Mr. Jonathan A. Rosenstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2207 Boston Road, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940 | |
Dr. Priya Sharma Malik, M.D., M.P.H Pediatrics Medicare: Medicare Enrolled Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 | |
Dr. Kimberly Joyal Martins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940 | |
Dr. Gary John Nielan, Pediatrics Medicare: Medicare Enrolled Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-599-1201 Fax: 413-596-2940 |