| Mr Salvatore Tresca Jr, CRNA | |
|
112 Mansfield Ave, Willimantic, CT 06226-2041 | |
| (860) 456-9116 | |
| (860) 456-6748 |
| Full Name | Mr Salvatore Tresca Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 112 Mansfield Ave, Willimantic, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275694564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 001724 (Connecticut) | Primary |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053782466 PECOS PAC ID: 2567455082 Enrollment ID: O20160121000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Salvatore Tresca Jr, CRNA 22 Mathew Dr, Johnston, RI 02919-1646 Ph: (401) 349-4999 | Mr Salvatore Tresca Jr, CRNA 112 Mansfield Ave, Willimantic, CT 06226-2041 Ph: (860) 456-9116 |
Mary Miller, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1185 Main St Ste 4, Willimantic, CT 06226 Phone: 860-423-7556 Fax: 860-423-4694 | |
Caroline Mary Ort, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1185 Main St, Willimantic, CT 06226 Phone: 860-423-7558 | |
Lynette C Murray, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1185 Main St Ste 2, Willimantic, CT 06226 Phone: 860-423-7558 |