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Organization

PETER TOLISANO PSYD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER PAUL TOLISANO JR. PSYD (OWNER)
(860) 778-4942
Entity
Organization

Contact information

Practice address
68 S MAIN ST, SUITE 100, WEST HARTFORD, CT 06107-2445
(860) 778-4942
Mailing address
111 DEKOVEN DR, #1201, MIDDLETOWN, CT 06457-3403
(860) 778-4942

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2993
CT

Other

Enumeration date
06/28/2015
Last updated
06/28/2015
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