Individual
FELLIPE MONTEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 E MAIN ST, TORRINGTON, CT 06790-3909
(860) 496-6884
(860) 496-2675
Mailing address
1290 SILAS DEANE HWY, HARTFORD HEALTHCARE-CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
014413
NY
363AM0700X
Medical Physician Assistant
Primary
5522
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-3422995
TAX ID #
NY
Enumeration date
10/19/2010
Last updated
08/03/2022
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