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Organization

JOSEPH B. GUARNACCIA, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH BLAISE GUARNACCIA M.D. (SOLE OWNER)
(203) 732-1290
Entity
Organization

Contact information

Practice address
130 DIVISION ST, MSTC, C/O GRIFFIN HOSPITAL, DERBY, CT 06418-1326
(203) 732-1290
(302) 732-1299
Mailing address
130 DIVISION ST, MSTC, C/O GRIFFIN HOSPITAL, DERBY, CT 06418-1326
(203) 732-1290
(302) 732-1299

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
031179
CT

Other

Enumeration date
05/12/2009
Last updated
05/12/2009
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