Individual
DR. PETER ANTHONY INGRALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 EAST AVE STE 3A, NORWALK, CT 06851-5726
(203) 899-0744
(203) 899-0761
Mailing address
148 EAST AVE STE 3A, NORWALK, CT 06851-5726
(203) 899-0744
(203) 899-0761
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
044779
CT
208600000X
Surgery Physician
193429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01655018
—
NY
Enumeration date
11/13/2006
Last updated
01/12/2017
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