| Dr Paul Pezzino, MD | |
| 330 Main St Fl 2, Hartford, CT 06106-1851 | |
| (203) 518-4888 | |
| (203) 518-4889 | 
| Full Name | Dr Paul Pezzino | 
|---|---|
| Gender | Male | 
| Speciality | Physical Medicine & Rehabilitation | 
| Location | 330 Main St Fl 2, Hartford, Connecticut | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962647743 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 261336 (Massachusetts) | Secondary | 
| 208100000X | Physical Medicine & Rehabilitation | 051098 (Connecticut) | Primary | 
| Entity Name | Primary Physical Medicine Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487190013 PECOS PAC ID: 8628351467 Enrollment ID: O20170201002768 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Paul Pezzino, MD 330 Main St Fl 2, Hartford, CT 06106-1851 Ph: (203) 518-4888 | Dr Paul Pezzino, MD 330 Main St Fl 2, Hartford, CT 06106-1851 Ph: (203) 518-4888 | 
| Jason Bitterman, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St Ste 609, Hartford, CT 06106 Phone: 860-972-5107 | |
| Dr. Gregory De Gruchy, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 85 Seymour St Ste 609, Hartford, CT 06106 Phone: 860-972-5107 Fax: 860-545-5593 | |
| Tracy Morales, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Cb 101, Hartford, CT 06102 Phone: 860-545-4187 Fax: 860-545-2006 | |
| Dr. Vincent Thomas Codispoti, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour St Ste 100, Hartford, CT 06106 Phone: 860-549-3210 Fax: 860-247-3803 | |
| Robert Krug, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 490 Blue Hills Ave, Hartford, CT 06112 Phone: 860-714-2647 Fax: 860-714-8517 | |
| Pietro A Memmo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour St Ste 100, Hartford, CT 06106 Phone: 860-549-3210 Fax: 860-247-3803 | |
| Maria Tsarouhas, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour Street, Hartford Hospital Physical Medicine & Rehab, Hartford, CT 06102 Phone: 860-972-5017 Fax: 860-545-5593 |