Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 22084 | MA |
Y | 2080P0214X | Pediatric Pulmonologist | 220874 | MA |
NPI | 1467434472 |
---|---|
Provider Name | Dr. Craig A Canapari |
First Address | New Haven, CT 06520-8064 |
Second Address | New Haven, CT 06519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 26/06/2013 |