Individual
DR. FRANK JOHN NINIVAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 ORCHARD STREET, NEW HAVEN, CT 06510
(203) 789-8753
(860) 868-6711
Mailing address
656 LAMBERT ROAD, ORANGE, CT 06477-1805
(203) 789-8753
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17709
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001177096
—
CT
Enumeration date
07/28/2006
Last updated
11/22/2017
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