Organization
IDENT AT HARBOR POINT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH FERTUCCI DDS (PRESIDENT)
(845) 897-2097
Entity
Organization
Contact information
Practice address
711 CANAL ST, STAMFORD, CT 06902-5902
(845) 897-2097
Mailing address
200 WESTAGE BUSINESS CTR DR, SUITE 233, FISHKILL, NY 12524-2264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10723
CT
1223P0700X
Prosthodontics
10723
CT
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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