Individual
MICHAEL CIANCIULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
230 GEORGE ST, NEW HAVEN, CT 06510-3224
(203) 498-5980
(203) 498-5999
Mailing address
230 GEORGE ST, NEW HAVEN, CT 06510-3224
(203) 498-5980
(203) 498-5999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007071
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004262763
—
CT
Enumeration date
04/16/2007
Last updated
04/23/2008
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