Organization
NUTMEG PEDIATRIC PULMONARY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA M PALAZZO MD (PRESIDENT)
(203) 789-1338
Entity
Organization
Contact information
Practice address
60 TEMPLE ST, 7F, NEW HAVEN, CT 06510
(203) 789-1338
(203) 789-1478
Mailing address
60 TEMPLE ST, 7F, NEW HAVEN, CT 06510
(203) 789-1338
(203) 789-1478
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001349233
—
CT
Enumeration date
02/26/2008
Last updated
05/27/2008
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