Individual
RANDY LUCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
40 TEMPLE ST, SUITE 1A, NEW HAVEN, CT 06510-2715
(203) 785-4138
Mailing address
330 CEDAR ST, BOARDMAN BUILDING 114, NEW HAVEN, CT 06510-3218
(203) 785-4184
(203) 785-7068
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
049571
CT
Other
Enumeration date
04/07/2008
Last updated
04/02/2013
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