Individual
DR. JOSEPH HENRY PRIVITERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 OLD MOUNT TOM RD, BANTAM, CT 06750-1302
(860) 567-0734
Mailing address
175 OLD MOUNT TOM RD, BANTAM, CT 06750-1302
(860) 567-0734
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
015521
CT
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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