Organization
PETER GIACOMAZZI, MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GIACOMAZZI M.D. (MD/OWNER)
(203) 879-8003
Entity
Organization
Contact information
Practice address
503 WOLCOTT RD, WOLCOTT, CT 06716-2673
(203) 879-8003
(203) 879-8010
Mailing address
503 WOLCOTT RD, WOLCOTT, CT 06716-2673
(203) 879-8003
(203) 879-8010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
419853
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001419531
—
CT
Enumeration date
07/26/2013
Last updated
07/26/2013
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