Antonio Ds Lopez (NPI# 1063492536, PAC ID# 6709945181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063492536 |
| PAC ID by PECOS | 6709945181 |
| Professional Enrollment ID | I20081030000670 |
| Full Name | Antonio Ds Lopez |
| Organization Legal Name | FAMILY PRACTICE AND INTERNAL MEDICINE, LLC |
| Address |
52 Washington Ave Suite 4 North Haven CT 06473-1724 |
| Phone Number | 2036722800 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991894123 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| 070031 | GRIFFIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2200 Whitney Ave, Suite 100, Hamden, CT 06518-3602 | 2034076410 | FAMILY PRACTICE AND INTERNAL MEDICINE, LLC |
| 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 | 2036722800 | FAMILY PRACTICE AND INTERNAL MEDICINE, LLC |
| Organization Legal Name | FAMILY PRACTICE AND INTERNAL MEDICINE, LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Angelo | Internal Medicine | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Rebecca J Grillo | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Shanaaz S Mohammed | Internal Medicine | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Kriezel Charmel E Presta | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Fausto Petruzziello | Internal Medicine | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Renu Bazaz-kapoor | Internal Medicine | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Tio Onneffe Livingston | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Assunta M Sandor | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Meghan E Prevost | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Tara N Carlesco | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Street Address |
52 WASHINGTON AVE SUITE 4 |
| City | NORTH HAVEN |
| State | CT |
| Zip | 06473-1724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Angelo | Internal Medicine | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Rebecca J Grillo | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Shanaaz S Mohammed | Internal Medicine | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Kriezel Charmel E Presta | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Fausto Petruzziello | Internal Medicine | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Renu Bazaz-kapoor | Internal Medicine | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Tio Onneffe Livingston | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Assunta M Sandor | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Meghan E Prevost | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Tara N Carlesco | Physician Assistant | Family Practice and Internal Medicine, LLC | 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc W Platt | Chiropractic | 336 Washington Ave, North Haven, CT 06473-1306 | |
| Candice L S Pollack | Chiropractic | Advanced Physical Medicine, LLC. | 444 Washington Ave B, North Haven, CT 06473-1311 |
| Ernest F Santoro | Physical Therapy | 462 -470 Washington Ave, Units 1 3, North Haven, CT 06473-1311 | |
| Maxwell L S Mitchell | Chiropractic | Advanced Physical Medicine, LLC. | 444 Washington Ave B, North Haven, CT 06473-1311 |
| Lawrence Lefland | Optometry | 81 A Washington Ave, North Haven, CT 06473-1704 | |
| Duke S Yoo | Podiatry | Associated Podiatrists of North Haven | 83 Washington Ave, North Haven, CT 06473-1704 |
| Hollyann C Mcnabola | Clinical Social Worker | 130 Washington Ave, Upper Level, North Haven, CT 06473-1709 | |
| Mary M Colburn | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 162 Washington Ave, North Haven, CT 06473-1711 |
| Meighann A Recile-oglesby | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 162 Washington Ave, North Haven, CT 06473-1711 |
| Elizabeth J Mckinnell | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 162 Washington Ave, North Haven, CT 06473-1711 |
| Find all physicians in zip 06473 | |||
| City | NORTH HAVEN |
| Zip Code | 06473 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NORTH HAVEN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Antonio Ds Lopez.
| 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.