Dianne J Defusco (NPI# 1063584787, PAC ID# 8426077850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063584787 |
| PAC ID by PECOS | 8426077850 |
| Professional Enrollment ID | I20051115000925 |
| Full Name | Dianne J Defusco |
| Organization Legal Name | BROADWAY MEDICAL GROUP LLC |
| Address |
2 Broadway North Haven CT 06473-2349 |
| Phone Number | 2032346500 |
| Gender | F |
| Credential | MD |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4587626635 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Broadway, North Haven, CT 06473-2349 | 2032346500 | BROADWAY MEDICAL GROUP LLC |
| Organization Legal Name | BROADWAY MEDICAL GROUP LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorenzo S Galante | Internal Medicine | Broadway Medical Group LLC | 2 Broadway, North Haven, CT 06473-2349 |
| Abisola O Afolalu | Internal Medicine | Broadway Medical Group LLC | 2 Broadway, North Haven, CT 06473-2349 |
| Street Address |
2 BROADWAY |
| City | NORTH HAVEN |
| State | CT |
| Zip | 06473-2349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorenzo S Galante | Internal Medicine | Broadway Medical Group LLC | 2 Broadway, North Haven, CT 06473-2349 |
| Heidi Joan Nativo | Physician Assistant | Jersey Irish Medical | 2 Broadway, Hillsdale, NJ 07642-2719 |
| Monica R Sirotovitz | Physician Assistant | Jersey Irish Medical | 2 Broadway, Hillsdale, NJ 07642-2719 |
| Kunal V Domakonda | Internal Medicine | Heartcare Associates of Connecticut, LLC | 2 Broadway, North Haven, CT 06473-2349 |
| Sevim Ruzehaji | Nurse Practitioner | Jersey Irish Medical | 2 Broadway, Hillsdale, NJ 07642-2719 |
| Alka J Patel | Internal Medicine | Jersey Irish Medical | 2 Broadway, Hillsdale, NJ 07642-2719 |
| Beatrice Monroe | Internal Medicine | Jersey Irish Medical | 2 Broadway, Hillsdale, NJ 07642-2719 |
| Anna Wolfson | Nurse Practitioner | Jersey Irish Medical | 2 Broadway, Hillsdale, NJ 07642-2719 |
| Andrew N Becker | Family Medicine | Jersey Irish Medical | 2 Broadway, Hillsdale, NJ 07642-2719 |
| Sathiyapama Eswarathasan | Podiatry | 2 Broadway, Suite 2, North Haven, CT 06473-2370 | |
| 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 Dianne J Defusco.
| 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.