| Fausto Petruzziello, MD | |
|
52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | |
| (203) 672-2800 | |
| (203) 672-2801 |
| Full Name | Fausto Petruzziello |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 52 Washington Ave, North Haven, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316933419 | NPI | - | NPPES |
| 2V9255 | Other | CT | HEALTHNET |
| 001369439 | Medicaid | CT | |
| P00441640 | Other | CT | RAILROADMEDICARE |
| 010036943CT01 | Other | CT | ANTHEM BCBS |
| 010036943CT07 | Other | CT | ANTHEM BCBS |
| 5941638 | Other | CT | AETNA |
| 754451Q040 | Other | CT | CONNECTICARE |
| P3846616 | Other | CT | OXFORD HEALTH PLAN |
| 754451 | Other | CT | CONNECTICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036943 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yale-new Haven Hospital | New haven, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Practice And Internal Medicine, Llc | 5991894123 | 10 |
| Caremedica Florida Llc | 2365826849 | 5 |
| Entity Name | Family Practice & Internal Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902095003 PECOS PAC ID: 5991894123 Enrollment ID: O20071211000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Fausto Petruzziello, MD 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 Ph: (203) 672-2800 | Fausto Petruzziello, MD 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 Ph: (203) 672-2800 |
Dr. Vincent Dicola, MD, FACC, NASPE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite #1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 | |
Dr. Georgia Ann Kelley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Broadway, North Haven, CT 06473 Phone: 203-234-1891 Fax: 203-234-2678 | |
Dr. Lorenzo Salvatore Galante, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway, North Haven, CT 06473 Phone: 203-234-6500 Fax: 203-234-6503 | |
Dr. Dianne Jean Defusco, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Broadway, North Haven, CT 06473 Phone: 203-234-6500 Fax: 203-234-6503 | |
Dr. Eric Grubman, MD, FACC, NASPE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite # 1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 | |
Parvati Singh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Devine St, North Haven, CT 06473 Phone: 203-287-3550 | |
Dr. Steven Jacoby, M.D., F.A.C.C. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite # 1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 |