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Individual

DR. DAVID E COLETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
330 WASHINGTON ST, SUITE 420, NORWICH, CT 06360-2700
(860) 886-0660
Mailing address
330 WASHINGTON ST, SUITE 420, NORWICH, CT 06360-2700
(860) 886-0660

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036672
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001366724
CT
01
010036672CT01
BCBS
CT
01
020042683
MEDICARE RAILROAD
CT
Enumeration date
02/14/2006
Last updated
10/23/2012
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