Individual
JOSEPH CECERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
365 MONTAUK AVE, ANESTHESIA DEPARTMENT, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 443-4458
Mailing address
PO BOX 32928, HARTFORD, CT 06150-2928
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
040733
CT
207L00000X
Anesthesiology Physician
MD14204
RI
207LP2900X
Pain Medicine (Anesthesiology) Physician
040733
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001407338
—
CT
01
—
050090082
RAILROAD MEDICARE
—
Enumeration date
05/30/2006
Last updated
02/23/2022
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