| Dr Gary N Grippo, DPM | |
|
189 Durham Road, Guilford, CT 06437 | |
| (203) 799-3668 | |
| (203) 891-0766 |
| Full Name | Dr Gary N Grippo |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 189 Durham Road, Guilford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013943448 | NPI | - | NPPES |
| 004213279 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 000481 (Connecticut) | Secondary |
| 213E00000X | Podiatrist | 000481 (Connecticut) | Primary |
| Provider Name | Northeast Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Provider Name | Advanced Foot Care Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396944427 PECOS PAC ID: 6608847488 Enrollment ID: O20040804001255 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary N Grippo, DPM 189 Durham Road, Guilford, CT 06437 Ph: (203) 799-3668 | Dr Gary N Grippo, DPM 189 Durham Road, Guilford, CT 06437 Ph: (203) 799-3668 |
Dr. Richard Sokoloff, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 652 Boston Post Rd, Suite 4, Guilford, CT 06437 Phone: 203-453-1524 Fax: 203-458-0926 | |
Sean Wayne Lazarus Dpm Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 920 Little Meadow Rd, Guilford, CT 06437 Phone: 203-453-0704 Fax: 203-453-0704 | |
Advanced Footcare Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 189 Durham Rd, Guilford, CT 06437 Phone: 203-799-3668 Fax: 203-891-0766 |