Individual
MR. TIMOTHY W FERRAROTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6679
(860) 496-6650
Mailing address
540 LITCHFIELD ST, TORRINGTON, CT 06790-6679
(860) 496-6650
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000608
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000608
LICENSE #
CT
01
—
060800
CONNECTICARE
CT
01
—
0608003630
CONNECTICARE
—
01
—
500HBE262CT01
BCBS GROUP #
CT
01
—
628737
CONNECTICARE GROUP #
CT
01
—
789159
MVP
CT
01
—
970030307
RAILROAD
CT
01
—
99318
GHI
CT
01
—
C02911
MEDICARE PIN GROUP #
CT
01
—
CK7848
RAILROAD GROUP #
CT
Enumeration date
06/22/2006
Last updated
05/19/2008
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