Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 042110 | CT |
NPI | 1346305604 |
---|---|
Provider Name | Andrea J. Diluigi |
First Address | Farmington, CT 06032-2568 |
Second Address | Farmington, CT 06032-2568 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 01/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042110 | LICENSE (01) | CT |