Individual
DR. GEORGE J TERRANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 446-8265
(860) 448-2543
Mailing address
PO BOX 1471, NEW LONDON CT, CT 06320-1471
(860) 446-8265
(860) 448-2543
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
017403
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4024972
—
CT
05
—
4041679
—
CT
Enumeration date
02/27/2007
Last updated
11/19/2011
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