Individual
DR. ALAN MICHAEL SPAGNOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 WILDWOOD MEDICAL CTR, ESSEX, CT 06426-1154
(860) 767-0145
(860) 767-0021
Mailing address
10 WILDWOOD MEDICAL CTR, ESSEX, CT 06426-1154
(860) 767-0145
(860) 767-0021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019375
CT
207RR0500X
Rheumatology Physician
019375
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001193754
—
CT
Enumeration date
07/27/2006
Last updated
05/30/2012
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