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Individual

DANIEL JOSEPH SCOPPETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 NEWELL RD, SUITE D28, BRISTOL, CT 06010-5100
(860) 582-1220
(860) 582-6255
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
(860) 585-3906
(860) 585-3907

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
020591
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001205913
CT
Enumeration date
07/27/2006
Last updated
07/20/2012
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