Individual
ALFRED CRETELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 GROVE ST, BOOTH HOUSE, NEW MILFORD, CT 06776-3626
(860) 354-5544
(860) 350-3122
Mailing address
11 GROVE ST, BOOTH HOUSE, NEW MILFORD, CT 06776-3626
(860) 354-5544
(860) 350-3122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
124039
NY
207RH0003X
Hematology & Oncology Physician
022754
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001227545
—
CT
Enumeration date
05/13/2006
Last updated
09/16/2011
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