Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 000491 | CT |
NPI | 1245386374 |
---|---|
Provider Name | Dr. David Michael Roccapriore |
First Address | Meriden, CT 06450-5786 |
Second Address | Meriden, CT 06450-5786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 23/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T80605 | (02) | CT |