# PETER JOHN FAMIGLIETTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811994510
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 026252 | CT | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 12/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010026252CT04 | ANTHEM BLUE CROSS | CT |
| 01 | — | 030671 | HEALTH NET | — |
| 01 | — | 131516 | PREFERRED ONE - FIRST CHO | — |
| 01 | — | 180026127 | RAILROAD MEDICARE | CT |
| 01 | — | 262520 | CONNECTICARE | — |
| 01 | — | 346885100 | WORKERS COMP - DEPT OF LA | — |
| 01 | — | 4618883 | AETNA PIN NUMBER | — |
| 01 | — | AETNA | AETNA MANAGED CARE | — |
| 01 | — | NLS042 | OXFORD | — |