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Physician Compare National (NPI:1215233044)

HEALTHCARE PROVIDER: KATHRYN PASCUCCI DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1215233044
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8426204686
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120803000683
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PASCUCCI
Individual professional last name
Provider First Name KATHRYN
Individual professional first name
Provider Middle Name E
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Individual professional's medical school
Graduation Year 2008
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name PHYSICIANS FOR WOMEN'S HEALTH, LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 3274430665
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 253
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1050 SULLIVAN AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE A4
Group Practice or individual's line 2 address
City SOUTH WINDSOR
Group Practice or individual's city
State CT
Group Practice or individual's state
Zip Code 060742000
Group Practice or individual's zip code (9 digits when available)
Phone Number 8606482748
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 070012
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 ROCKVILLE GENERAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 070027
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 MANCHESTER MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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