Individual
MR. MICHEAL W ACOCELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., P.T.
Contact information
Practice address
469 W PUTNAM AVE, SUITE 202, GREENWICH, CT 06830-6060
(203) 869-5546
(203) 629-4836
Mailing address
469 W PUTNAM AVE, SUITE 202, GREENWICH, CT 06830-6060
(203) 869-5546
(203) 629-4836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
004700
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397526
PHCS
CT
01
—
4305214
AETNA
CT
Enumeration date
04/07/2006
Last updated
05/18/2010
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