| Vincent Paul Desantis, MD | |
| 15 Riverside Ave, Bristol, CT 06010-6312 | |
| (860) 516-7593 | |
| Not Available | 
| Full Name | Vincent Paul Desantis | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 15 Riverside Ave, 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 | 
|---|---|---|---|
| 1972063741 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 71105 (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 | 
|---|---|
| Vincent Paul Desantis, MD 506 6th St, Brooklyn, NY 11215-3609 Ph: (718) 780-3000 | Vincent Paul Desantis, MD 15 Riverside Ave, Bristol, CT 06010-6312 Ph: (860) 516-7593 | 
| Ronald S Green, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010 Phone: 860-583-9252 Fax: 860-585-9848 | |
| Daniel Norman Smiley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010 Phone: 860-583-9252 Fax: 860-585-9848 | |
| Dr. Michael Owen Richards, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3000 | |
| Michael Stephen Ptaszynski, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Newell Rd, #d-25, Bristol, CT 06010 Phone: 860-314-6020 Fax: 860-314-6024 | |
| Dr. Robert C Debiase, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite D24, Bristol, CT 06010 Phone: 860-582-3235 Fax: 860-582-0692 | |
| Dr. Nandini Ravindra Menon, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Maple St, Bristol, CT 06010 Phone: 860-584-8021 Fax: 860-584-9021 | |
| Christopher Wakem, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 44 Brewster Road, Hem/oncology Dept., Level A, Bristol, CT 06010 Phone: 860-585-3000 Fax: 860-585-3907 |