| Connecticut Podiatry Group, P.c. | |
|
385 Main St, West Haven, CT 06516-4312 | |
| (203) 933-8606 | |
| (203) 932-9571 |
| Full Name | Connecticut Podiatry Group, P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 385 Main St, West Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912076886 | NPI | - | NPPES |
| 0040608280 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | P00345 (Connecticut) | Primary |
| Provider Name | Glenn C Vitale |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730189556 PECOS PAC ID: 0446355432 Enrollment ID: I20070419000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Podiatry Group, P.c. 385 Main St, West Haven, CT 06516-4312 Ph: (203) 933-8606 | Connecticut Podiatry Group, P.c. 385 Main St, West Haven, CT 06516-4312 Ph: (203) 933-8606 |
Dr. Christine Claire Salonga, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 | |
Dr. Ashley Anne Bruno, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 950 Campbell Ave, West Haven, CT 06516 Phone: 203-932-5711 Fax: 203-937-3845 | |
Sean Wayne Lazarus D.p.m. Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 764 Campelle Ave, Unitg, West Haven, CT 06516 Phone: 475-238-7400 Fax: 475-238-7400 | |
Dr. Mark John Daddio, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 385 Main St, West Haven, CT 06516 Phone: 203-933-8606 Fax: 203-932-9571 | |
Dr. Joseph Anthony Saracco Iii, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 385 Main St, West Haven, CT 06516 Phone: 203-933-8606 Fax: 203-932-9571 | |
Dr. Steven D Vyce, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 950 Campbell Ave, Vact, Ms 112, West Haven, CT 06516 Phone: 203-444-0309 Fax: 203-937-3845 | |
Dr. Joseph Patrick Rogers, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 267 Elm St, West Haven, CT 06516 Phone: 203-675-6115 |