Organization
RICHARD MONTICCIOLO MD AND MARIE MONTICCIOLO MD LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE HUNAZANT MONTICCIOLO MD (PARTNER)
(860) 257-7405
Entity
Organization
Contact information
Practice address
2275 SILAS DEANE HWY, ROCKY HILL, CT 06067
(860) 257-7405
(860) 257-8788
Mailing address
2275 SILAS DEANE HWY, ROCKY HILL, CT 06067
(860) 257-7405
(860) 257-8788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028760
CT
207R00000X
Internal Medicine Physician
030751
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004163010
—
CT
Enumeration date
04/24/2006
Last updated
03/14/2010
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