Individual
MICHAEL PITTARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1177 SUMMER ST, 5TH FLOOR, STAMFORD, CT 06905-5572
(203) 353-1133
Mailing address
1177 SUMMER ST, 5TH FLOOR, STAMFORD, CT 06905-5572
(203) 353-1133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
041571
CT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
041571
CT
207UN0901X
Nuclear Cardiology Physician
041571
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001415711
—
CT
Enumeration date
08/31/2006
Last updated
11/13/2012
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