Individual
PIETRO A MEMMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 SEYMOUR ST STE 100, HARTFORD, CT 06106-5521
(860) 549-3210
(860) 247-3803
Mailing address
74 BATTERSON PARK RD STE 107, FARMINGTON, CT 06032-2565
(860) 549-3210
(860) 247-3803
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
041509
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001415092
—
CT
Enumeration date
07/05/2005
Last updated
06/28/2021
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