Organization
PATCH TESTING CENTERS OF EXCELLENCE- MILFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO PETRAZZUOLI M.D. (OWNER)
(203) 301-5860
Entity
Organization
Contact information
Practice address
849 BOSTON POST RD, SUITE 300, MILFORD, CT 06460-3537
(203) 301-5860
(203) 301-5862
Mailing address
934 ORANGE CENTER RD, ORANGE, CT 06477-1715
(617) 645-1412
(203) 301-5862
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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