Individual
DR. LOUISE GIAMMONA CAUDULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
31 UNION ST, VERNON, CT 06066-3126
(860) 872-5291
Mailing address
11 SHODDY MILL RD, BOLTON, CT 06043-7817
(860) 645-0115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
531
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531
CT STATE LICENSE NUMBER
CT
Enumeration date
03/02/2006
Last updated
07/16/2007
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