Individual
RICHARD MONTICCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2275 SILAS DEANE HWY, RICHARD MONTICCIOLO MD AND MARIE MONTICCIOLO MD, LLP, ROCKY HILL, CT 06067
(860) 257-7405
(860) 257-8788
Mailing address
2275 SILAS DEANE HWY, RICHARD MONTICCIOLO MD AND MARIE MONTICCIOLO MD, LLP, ROCKY HILL, CT 06067
(860) 257-7405
(860) 257-8788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028760
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1287607
—
CT
Enumeration date
04/04/2006
Last updated
03/12/2010
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