Individual
JOSEPH L IANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 ELM ST, STE 303, ENFIELD, CT 06082-3739
(860) 253-6867
(860) 741-4399
Mailing address
30 WATERCHASE DR, ROCKY HILL, CT 06067-2110
(860) 257-4131
(860) 257-4519
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
031644
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001316448
—
CT
Enumeration date
09/12/2006
Last updated
07/09/2020
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