Individual
FAUSTO PETRUZZIELLO
Active
Individual
FAUSTO PETRUZZIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036943
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001369439
—
CT
01
—
010036943CT01
ANTHEM BCBS
CT
01
—
010036943CT07
ANTHEM BCBS
CT
01
—
2V9255
HEALTHNET
CT
01
—
5941638
AETNA
CT
01
—
754451
CONNECTICARE
CT
01
—
754451Q040
CONNECTICARE
CT
01
—
P00441640
RAILROADMEDICARE
CT
01
—
P3846616
OXFORD HEALTH PLAN
CT
Enumeration date
09/23/2005
Last updated
07/22/2016
Update your record
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