Individual
DR. MICHAEL COREY MAGNIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 482-5384
(860) 496-4951
Mailing address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 482-5384
(860) 489-1799
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
21497
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13950
CT CONTROLLED SUBSTANCE
CT
01
—
21497
PHYSICIANS LICENSE
CT
Enumeration date
07/05/2006
Last updated
03/07/2023
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