| Joseph A Evangelista, MD | |
|
15 Corporate Dr, #2-2, Trumbull, CT 06611-1351 | |
| (203) 268-8673 | |
| Not Available |
| Full Name | Joseph A Evangelista |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 15 Corporate Dr, Trumbull, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093711343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 028306 (Connecticut) | Primary |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A Evangelista, MD 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 Ph: () - | Joseph A Evangelista, MD 15 Corporate Dr, #2-2, Trumbull, CT 06611-1351 Ph: (203) 268-8673 |
Dawn Lukose, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Quarry Rd Ste 220, Trumbull, CT 06611 Phone: 203-374-6162 | |
Geny Ann George, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Technology Dr Ste 101, Trumbull, CT 06611 Phone: 203-372-7200 | |
Daniel G. Sica, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 888 White Plains Rd, Suite 203, Trumbull, CT 06611 Phone: 203-459-0408 Fax: 203-459-0410 | |
Dr. Molain Saintilus, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Quarry Rd, Suite 220, Trumbull, CT 06611 Phone: 203-374-6162 Fax: 203-374-1549 | |
Linda S Werner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Technology Dr Unit C101, Trumbull, CT 06611 Phone: 203-372-7200 Fax: 203-374-1473 | |
Dr. William G. Hulcher, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 888 White Plains Rd, Suite 202, Trumbull, CT 06611 Phone: 203-459-9666 Fax: 203-459-9698 |