Individual
DR. JAMES EDWARD PUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
114 RIDGEWOOD AVE, NORTH HAVEN, CT 06473-4440
(203) 915-4246
(203) 230-1736
Mailing address
114 RIDGEWOOD AVE, NORTH HAVEN, CT 06473-4440
(203) 915-4246
(203) 230-1736
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
007947
CT
1223P0300X
Periodontics
17970
MA
1223P0300X
Periodontics
DEN02527
RI
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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