Individual
RICHARD ANTHONY MARTINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, HB-527, NEW HAVEN, CT 06510-3220
(203) 688-4634
(203) 688-2823
Mailing address
20 YORK ST, HB-527, NEW HAVEN, CT 06510-3220
(203) 688-4634
(203) 688-2823
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
038728
CT
2080P0208X
Pediatric Infectious Diseases Physician
038728
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001387283
—
CT
Enumeration date
11/22/2005
Last updated
08/27/2015
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