| Dr Antonio Scappaticci, MD | |
|
625 Clark Ave, Bristol, CT 06010-4068 | |
| (860) 583-7700 | |
| (860) 589-7656 |
| Full Name | Dr Antonio Scappaticci |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 625 Clark Ave, Bristol, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124031075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 026653 (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 |
|---|---|
| Dr Antonio Scappaticci, MD 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 Ph: (860) 284-5200 | Dr Antonio Scappaticci, MD 625 Clark Ave, Bristol, CT 06010-4068 Ph: (860) 583-7700 |
Ronald S Green, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010 Phone: 860-583-9252 Fax: 860-585-9848 | |
Daniel Norman Smiley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010 Phone: 860-583-9252 Fax: 860-585-9848 | |
Dr. Michael Owen Richards, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3000 | |
Michael Stephen Ptaszynski, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Newell Rd, #d-25, Bristol, CT 06010 Phone: 860-314-6020 Fax: 860-314-6024 | |
Dr. Robert C Debiase, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite D24, Bristol, CT 06010 Phone: 860-582-3235 Fax: 860-582-0692 | |
Dr. Nandini Ravindra Menon, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Maple St, Bristol, CT 06010 Phone: 860-584-8021 Fax: 860-584-9021 | |
Christopher Wakem, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 44 Brewster Road, Hem/oncology Dept., Level A, Bristol, CT 06010 Phone: 860-585-3000 Fax: 860-585-3907 |