| Peter Francis Daddario, MD | |
|
25 Newell Rd Ste D21, Bristol, CT 06010 | |
| (860) 585-6944 | |
| (860) 585-7746 |
| Full Name | Peter Francis Daddario |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 25 Newell Rd Ste D21, Bristol, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891874376 | NPI | - | NPPES |
| 010029024CT03 | Other | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | CT029024 (Connecticut) | Secondary |
| 208600000X | Surgery | 029024 (Connecticut) | Primary |
| 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 |
|---|---|
| Peter Francis Daddario, MD 25 Newell Rd Ste D21, Bristol, CT 06010-5128 Ph: (860) 585-6944 | Peter Francis Daddario, MD 25 Newell Rd Ste D21, Bristol, CT 06010 Ph: (860) 585-6944 |
Rainer Wolf Bagdasarian, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite D28, Bristol, CT 06010 Phone: 860-583-2003 Fax: 860-582-6255 | |
Khaula Khatlani, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 975 Farmington Ave Ste 1, Bristol, CT 06010 Phone: 860-589-0114 Fax: 860-589-1936 | |
Kenneth George Benoit, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 85 Beleden Gardens Drive, Bristol, CT 06010 Phone: 860-582-1220 Fax: 860-582-6255 | |
Larissa Nkouami Pamen, MD Surgery Medicare: Medicare Enrolled Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3966 | |
James Thomas Sayre, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 Beleden Gardens Dr, Bristol, CT 06010 Phone: 860-582-1220 Fax: 860-582-6255 | |
Sai Varanasi, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3000 | |
Daniel Joseph Scoppetta, MD Surgery Medicare: Medicare Enrolled Practice Location: 25 Newell Rd, Suite D28, Bristol, CT 06010 Phone: 860-582-1220 Fax: 860-582-6255 |