Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 17123 | CT |
NPI | 1558350405 |
---|---|
Provider Name | Dr. Anthony A Luciano |
First Address | Farmington, CT 06030-2212 |
Second Address | Southington, CT 06489-6025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 02/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011711230 | (05) | CT |
001171230-03NB | ANTHEM BLUE CARE FAMILY P (01) | CT |
001171230-04HTFD | ANTHEM BLUE CARE FAMILY P (01) | CT |
010017123CT 04 | ANTHEM BLUE CROSE & BLUE (01) | CT |
010017123CT 05 | ANTHEM BLUE CROSE & BLUE (01) | CT |
0152719 | CIGNA -1-800-244-6224 (01) | CT |
20-1997579 | PRIVATE HEALTH CARE SYSTE (01) | CT |
20-1997579 | UNITED HEALTH CARE (01) | CT |
2V5829 | HEALTH NET (01) | CT |
3786055 | AETNA USHEALTH CARE (01) | |
B97682 | (02) | CT |
HAS392 | OXFORD HEALTH (01) | CT |