Gina F Lattanzio
WEST SIDE MEDICAL CENTER, LLC


Address: 606 W Main St, Norwich, CT 06360-6084
Phone: 8608891400

Gina F Lattanzio (NPI# 1972057917, PAC ID# 6002195658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1972057917
PAC ID by PECOS 6002195658
Professional Enrollment ID I20161122001718
Full Name Gina F Lattanzio
Organization Legal Name WEST SIDE MEDICAL CENTER, LLC
Address 606 W Main St
Norwich
CT 06360-6084
Phone Number 8608891400
Gender F
Medical School UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7810056355
Number of Group Practice Members 5
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070024 WILLIAM W BACKUS HOSPITAL

Other Locations

Address Phone Organization
606 W Main St, Norwich, CT 06360-6084 8608891400 WEST SIDE MEDICAL CENTER, LLC

Organization Information

Organization Legal Name WEST SIDE MEDICAL CENTER, LLC
Physicians 1

Office Location

Street Address 606 W MAIN ST
City NORWICH
State CT
Zip 06360-6084

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Competitor

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City NORWICH
Zip Code 06360
Specialty NURSE PRACTITIONER
City + Specialty NORWICH + NURSE PRACTITIONER

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Dataset Information

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.

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