Individual
DR. JOSEPH BLAISE GUARNACCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 SEYMOUR AVE # 1C, DERBY, CT 06418-1336
(203) 732-1290
(203) 732-1299
Mailing address
137 COLD SPRING ST, NEW HAVEN, CT 06511-2205
(203) 676-7436
(203) 732-1299
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
031179
CT
2084N0400X
Neurology Physician
1045N
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001311795
—
CT
Enumeration date
07/12/2006
Last updated
03/09/2022
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