Individual
HENRY PUCIATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, APRN
Contact information
Practice address
146 SAMSON ROCK DR, MADISON, CT 06443-3018
(203) 868-6201
Mailing address
7 BROAD HILL CIR, GUILFORD, CT 06437-1722
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
075149
CT
363LF0000X
Family Nurse Practitioner
Primary
4697
CT
Other
Enumeration date
06/29/2011
Last updated
07/06/2016
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