Individual
DR. MICHAEL STEVEN DISIENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 ALVORD PARK RD BLDG B, TORRINGTON, CT 06790-3493
(860) 496-0455
(860) 496-2793
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
68067
CT
Other
Enumeration date
03/27/2015
Last updated
07/08/2021
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