Masonicare Primary Care Physicians
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Wallingford, CT
NPI 1922084540 · NPPES record last updated Jan 2, 2008
Key facts
- NPI
- 1922084540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- MASONICARE PRIMARY CARE PHYSICIANS
- Practice address
- 67 Masonic Avenue
1St Floor
Wallingford, CT 06492 - Phone
- (203) 265-0355
- Fax
- (203) 265-7413
- NPI assigned
- Dec 15, 2005
- Organization subpart
- No
Authorized official
- Name
- Alla Bernshteyn, MD
- Title
- President
- Phone
- (203) 265-0355
Subparts reporting this organization as parent 1
Practitioners 151
-
Katherine N Bunger, APRN
-
Andrea L. Joseph, LCSW
-
Avijit Mitra, MD
-
Aydin Uzun Pinar, MD
-
Gina Reiners, APRN
-
Yauss B Safavi, M.D.
-
Rita Tropper, LCSW
-
Rehan Aziz, M.D.
-
Susan Walsh Ade, APRN, RN
-
Blanche C. Agostinelli, APRN
-
Doris L Altherr, MD
-
Bachaar Arnaout, M.D.
-
Robert Ballough, P.A.
-
Theresa Sweeney Barnett, APRN
-
Farzana Begum, MD
-
Stephanie Birn, PA
-
Dana J Bishop, FNP
-
Subbarao Bollepalli, M.D
-
Robert J. Brice, PA
-
Joel Brook, M.D.
-
Alison Lori Carlson, APRN
-
Mary E. Cash, PA
National Provider Directory
Locations
329 Main St
Ste 101
Wallingford, CT 06492
850 N Main Street Ext
Ste 1C1
Wallingford, CT 06492
Phone (203) 269-0885
67 Masonic Ave
Ste 1100
Wallingford, CT 06492
67 Masonic Ave
Fl 1
Wallingford, CT 06492
Phone (203) 265-0355
97 Barnes Rd
Wallingford, CT 06492
Phone (203) 284-3137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes |
Addresses
Primary practice location
67 Masonic Avenue
1St Floor
Wallingford, CT 06492
Mailing address
67 Masonic Avenue
1St Floor
Wallingford, CT 06492
Phone (203) 265-0355
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004178605 | Medicaid | CT |
Other providers in Wallingford, CT
- Masonicare Health Center
- Masonicare Health Center
- Masonicare Health Center
- Masonicare Home Health and Hospice, Inc.
- Masonicare Home Health and Hospice, Inc.
- Julianne Mastroe
- Megan C Matthews
- Mark Thomas Mauriello
- Elizabeth McAdam
- Jennifer Lynne McCormick
All providers in Wallingford, CT · Geriatric Medicine (Internal Medicine) Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.