Individual
MATTHEW CIARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 LEWIS AVE, WOLCOTT, CT 06716-3206
(860) 729-0130
Mailing address
16 LEWIS AVE, WOLCOTT, CT 06716-3206
(860) 729-0130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
48105
CT
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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