Organization
ROBERT L. CERCIETTO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LOUIS CERCIELLO MD. (PRESIDENT)
(860) 521-2700
Entity
Organization
Contact information
Practice address
1001 FARMINGTON AVENUE, SUITE #301, WEST HARTFORD, CT 06107-2121
(860) 521-2700
(860) 521-6258
Mailing address
1001 FARMINGTON AVENUE, SUITE #301, WEST HARTFORD, CT 06107-2121
(860) 521-2700
(860) 521-6258
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
017263
CT
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
020686
CT
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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