Individual
DR. PHILIP FLEMMING PACELLI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DMD
Contact information
Practice address
166 CHERRY STREET, SUITE A, NEW CANAAN, CT 06840
(203) 972-1581
(203) 972-1980
Mailing address
166 CHERRY STREET, SUITE A, NEW CANAAN, CT 06840
(203) 972-1581
(203) 972-1980
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
007900
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020007900CT02
ANTHEM BCBS
CT
01
—
CV2783
HEALTH NET
CT
01
—
P2552103
OXFORD
CT
Enumeration date
03/20/2007
Last updated
02/13/2009
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