Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 018324 | CT |
N | 111NI0900X | Internist | 018324 | CT |
Y | 207RG0300X | Geriatric Medicine | 018324 | CT |
NPI | 1154380079 |
---|---|
Provider Name | Dr. Arnold Dorosario |
First Address | Trumbull, CT 06611-4816 |
Second Address | Trumbull, CT 06611-4816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 14/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001183243 | (05) | CT |
B39448 | (02) | CT |