| Dr Russell David Himmelstein, MD | |
|
51 N Elm St, Waterbury, CT 06702-1545 | |
| (203) 574-4000 | |
| (203) 574-4003 |
| Full Name | Dr Russell David Himmelstein |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 51 N Elm St, Waterbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376170993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 73725 (Connecticut) | Primary |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Entity Name | Greenwich Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609846088 PECOS PAC ID: 3678476710 Enrollment ID: O20040128000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Russell David Himmelstein, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 | Dr Russell David Himmelstein, MD 51 N Elm St, Waterbury, CT 06702-1545 Ph: (203) 574-4000 |
Dr. Maria Tasso, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971 | |
Elizabeth Marie Bailey Geib, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Dr. Ellen Mascoli-lanza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-346-6971 | |
Neysa J. Mcdonald, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Stephen J Maddox Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 Robbins St, Waterbury, CT 06708 Phone: 203-755-2999 Fax: 203-755-6782 | |
Joseph Albert Vitterito Ii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 64 Robbins St, Waterbury, CT 06708 Phone: 203-573-6000 | |
Elsa Mercedes Martinez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 80 Phoenix Ave Ste 201, Waterbury, CT 06702 Phone: 203-756-8021 |