Individual
NICHOLAS THEODORE CARNEVALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 BRAEMAR DR, CHESHIRE, CT 06410-1671
(203) 250-0375
Mailing address
121 BRAEMAR DR, CHESHIRE, CT 06410-1671
(203) 250-0375
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
032658
CT
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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