Individual
PETER JOHN FAMIGLIETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
026252
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010026252CT04
ANTHEM BLUE CROSS
CT
01
—
030671
HEALTH NET
—
01
—
131516
PREFERRED ONE - FIRST CHO
—
01
—
180026127
RAILROAD MEDICARE
CT
01
—
262520
CONNECTICARE
—
01
—
346885100
WORKERS COMP - DEPT OF LA
—
01
—
4618883
AETNA PIN NUMBER
—
01
—
AETNA
AETNA MANAGED CARE
—
01
—
NLS042
OXFORD
—
Enumeration date
07/07/2005
Last updated
12/22/2011
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