Individual
JOHN B. FAMIGLIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 FEDERAL RD, DANBURY, CT 06810-6129
(203) 743-3877
(203) 743-1100
Mailing address
8 HIDDEN BROOK DR, BROOKFIELD, CT 06804-1306
(203) 775-4087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
021441
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001214410
—
CT
01
—
OV3791
GENERAL SURGERY
CT
Enumeration date
06/22/2006
Last updated
07/09/2007
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