Jo Ann Deloge (NPI# 1174611628, PAC ID# 4688669195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174611628 |
| PAC ID by PECOS | 4688669195 |
| Professional Enrollment ID | I20040415000530 |
| Full Name | Jo Ann Deloge |
| Organization Legal Name | SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES PC |
| Address |
447 Montauk Ave New London CT 06320-4605 |
| Phone Number | 8604471426 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9537061981 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070007 | LAWRENCE & MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 447 Montauk Ave, New London, CT 06320-4605 | 8604471426 | SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES PC |
| Organization Legal Name | SOUTHEASTERN CONNECTICUT MEDICAL ASSOCIATES PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saul D Neuman | Internal Medicine | Southeastern Connecticut Medical Associates PC | 447 Montauk Ave, New London, CT 06320-4605 |
| William A Colom | Internal Medicine | Southeastern Connecticut Medical Associates PC | 447 Montauk Ave, New London, CT 06320-4605 |
| Street Address |
447 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip | 06320-4605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saul D Neuman | Internal Medicine | Southeastern Connecticut Medical Associates PC | 447 Montauk Ave, New London, CT 06320-4605 |
| William A Colom | Internal Medicine | Southeastern Connecticut Medical Associates PC | 447 Montauk Ave, New London, CT 06320-4605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marileni Brisita | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Michelle A Gallerani | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Kathryn Rymsza | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Rachel Beckmann | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Jeffrey D Daley | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Kevin J O'reilly | Psychologist, Clinical | 400 Bayonet St, Suite 202, New London, CT 06320-2600 | |
| Kimberly A Kurey | Nurse Practitioner | 400 Bayonet St, New London, CT 06320-2600 | |
| Diane Joan Schrage | Clinical Social Worker | 400 Bayonet St, Suite 400, New London, CT 06320-2600 | |
| Patricia A Medling | Clinical Social Worker | 400 Bayonet St, Suite 202, New London, CT 06320-2600 | |
| George A Sprecace | Allergy/immunology | 400 Bayonet St, Ll2, New London, CT 06320-2600 | |
| Find all physicians in zip 06320 | |||
| City | NEW LONDON |
| Zip Code | 06320 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW LONDON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jo Ann Deloge.
| 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.