Individual
DR. RAFAEL P SQUITIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 MAIN STREET, BRIDGEPORT, CT 06606
(203) 576-5708
(203) 367-8392
Mailing address
1177 SUMMER ST, STAMFORD, CT 06905-5572
(203) 576-5708
(203) 367-8392
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
039409
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
039409
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001394098
—
CT
Enumeration date
01/18/2006
Last updated
11/06/2014
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