Anthony J Distefano (NPI# 1568430361, PAC ID# 4880730464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1568430361 |
| PAC ID by PECOS | 4880730464 |
| Professional Enrollment ID | I20091013000372 |
| Full Name | Anthony J Distefano |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Address |
360 Tolland Tpke Manchester CT 06042-1771 |
| Phone Number | 8606491138 |
| Gender | M |
| Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3173866241 |
| Number of Group Practice Members | 437 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070027 | MANCHESTER MEMORIAL HOSPITAL |
| 070012 | ROCKVILLE GENERAL HOSPITAL |
| 070008 | JOHNSON MEMORIAL HOSPITAL |
| 070021 | WINDHAM COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 360 Tolland Tpke, Manchester, CT 06042-1771 | 8606491138 | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Organization Legal Name | HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC |
| Physicians | 364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Koral Z Ben-simon | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 1559 Sullivan Ave, South Windsor, CT 06074-2766 |
| Laurie Giemza | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 42 Town St, Suite 300, Norwich, CT 06360-2339 |
| Corey L. Jokl | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 1244 Storrs Rd, Road, Storrs, CT 06268-2200 |
| Regina K Stuart | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 5 Founders St, Suite 102, Willimantic, CT 06226-2050 |
| Marko Lujic | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 183 N Mountain Rd, New Britain, CT 06053-4325 |
| Rebecca L. Russo | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 339 W Main St, Avon, CT 06001-4322 |
| Marybeth A Moore | Physician Assistant | Hartford Healthcare Medical Group Specialists LLC | 406 Farmington Ave, Farmington, CT 06032-1964 |
| Jillian M Kalinchak | Nurse Practitioner | Hartford Healthcare Medical Group Specialists LLC | 164 Otrobando Ave, Norwich, CT 06360-2116 |
| John P Tauro | Neurology | Hartford Healthcare Medical Group Specialists LLC | 1 Towne Park Plz, Norwich, CT 06360-2247 |
| Kathleen Kurowski | General Surgery | Hartford Healthcare Medical Group Specialists LLC | 12 Case St, Suite 313, Norwich, CT 06360-2222 |
| Street Address |
360 TOLLAND TPKE |
| City | MANCHESTER |
| State | CT |
| Zip | 06042-1771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine E Huebner | Qualified Audiologist | Buckland Ear Nose and Throat LLC | 360 Tolland Tpke, 1e, Manchester, CT 06042-1759 |
| David J Rosenberg | Urology | Hartford Healthcare Medical Group Specialists LLC | 360 Tolland Tpke, Manchester, CT 06042-1771 |
| Jeffrey M Ranaudo | Vascular Surgery | Southern Connecticut Vascular Center LLC | 360 Tolland Tpke, Suite 1a, Manchester, CT 06042-1759 |
| Vanessa Romero | Physician Assistant | Buckland Ear Nose and Throat LLC | 360 Tolland Tpke, 1e, Manchester, CT 06042-1759 |
| Lancelot P Morgan | Physician Assistant | Sports Medicine and Orthopedic Surgery | 360 Tolland Tpke, Suite 3c, Manchester, CT 06042-1770 |
| Daniel M Veltri | Orthopedic Surgery | Sports Medicine and Orthopedic Surgery | 360 Tolland Tpke, Suite 3c, Manchester, CT 06042-1770 |
| Michael J Franklin | Otolaryngology | Buckland Ear Nose and Throat LLC | 360 Tolland Tpke, 1e, Manchester, CT 06042-1759 |
| John A Pietropaoli | Vascular Surgery | Southern Connecticut Vascular Center LLC | 360 Tolland Tpke, Suite 1a, Manchester, CT 06042-1759 |
| John James Griffith | Urology | Hartford Healthcare Medical Group Specialists LLC | 360 Tolland Tpke, Manchester, CT 06042-1771 |
| Donna M Boccelli | Podiatry | 360 Tolland Tpke, Suite 2c, Manchester, CT 06042-1770 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Sturgis | Optometry | New England Eyecare of Manchester, P.C. | 29 Buckland St, Manchester, CT 06042-1601 |
| Mark David Sturgis | Optometry | New England Eyecare of Manchester, P.C. | 29 Buckland St, Manchester, CT 06042-1601 |
| Nicholas Motto | Optometry | New England Eyecare of Manchester, P.C. | 29 Buckland St, Manchester, CT 06042-1601 |
| Amanda Rose Bilunas | Optometry | Complete Family Eyecare LLC | 238 Tolland Tpke, Manchester, CT 06042-1744 |
| Gina M Lippi | Optometry | Complete Family Eyecare LLC | 238 Tolland Tpke, Manchester, CT 06042-1744 |
| Brian J Kelly | Vascular Surgery | Southern Connecticut Vascular Center LLC | 360 Tolland Tpke, Suite 1a, Manchester, CT 06042-1759 |
| Susan M Casey | Qualified Audiologist | Buckland Ear Nose and Throat LLC | 360 Tolland Tpke, 1e, Manchester, CT 06042-1759 |
| Cynthia D Mcduffee | Qualified Audiologist | Buckland Ear Nose and Throat LLC | 360 Tolland Tpke, 1e, Manchester, CT 06042-1759 |
| Linda M Koflanovich | Clinical Social Worker | Hartford Healthcare Medical Group Specialists LLC | 360 Tolland Tpke, Manchester, CT 06042-1771 |
| Andrew Kenneth Sokolski | Physical Therapy | Sokolski Physical Therapy, LLC | 230 Deming St, Manchester, CT 06042-1778 |
| Find all physicians in zip 06042 | |||
| City | MANCHESTER |
| Zip Code | 06042 |
| Specialty | UROLOGY |
| City + Specialty | MANCHESTER + UROLOGY |
Please comment or provide details below to improve the information on Anthony J Distefano.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.