| Dr Vanessa Cheryl Malit, MD | |
|
11 South Rd, Farmington, CT 06032-2483 | |
| (860) 714-7128 | |
| Not Available |
| Full Name | Dr Vanessa Cheryl Malit |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 11 South Rd, Farmington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982865085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MT192712 (Pennsylvania) | Secondary |
| 208600000X | Surgery | 269038 (New York) | Secondary |
| 208600000X | Surgery | 53392 (Connecticut) | Primary |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | Bristol Hospital Multi-specialty Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649265679 PECOS PAC ID: 9032014758 Enrollment ID: O20031204000960 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vanessa Cheryl Malit, MD 40 Palmorr Pl, Bristol, CT 06010-3165 Ph: (860) 751-9600 | Dr Vanessa Cheryl Malit, MD 11 South Rd, Farmington, CT 06032-2483 Ph: (860) 714-7128 |
Zachary Tallent Solomon, Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3467 | |
Jeffery Spiro, MD Surgery Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 | |
Brendan Gontarz, MD Surgery Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-3467 Fax: 860-679-1460 | |
Kyle Alan Mccullough, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-1411 | |
Dr. Jeffrey Erwin Indes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-8080 Fax: 860-679-1420 | |
Dr. David W Mcfadden, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, General Surgery, Farmington, CT 06030 Phone: 860-679-8080 Fax: 860-679-1420 | |
Peter Deckers, Surgery Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 |