Individual
PETER GIACOMAZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 WOLCOTT RD, WOLCOTT, CT 06716-2613
(203) 879-7925
(203) 879-7935
Mailing address
503 WOLCOTT RD, 3RD FLOOR, WOLCOTT, CT 06716
(203) 879-8003
(203) 879-8010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041953
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001419531
—
CT
Enumeration date
05/04/2006
Last updated
12/01/2021
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