Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 004073 | CT |
NPI | 1164416699 |
---|---|
Provider Name | Dr. Donald A Amaro |
First Address | Norwich, CT 06360-2624 |
Second Address | Norwich, CT 06360-2624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2005 |
Last Update Date | 09/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020004073CT01 | BC/BS PROVIDER ID # (01) | CT |
5477144 | AETNA MEDICAL PROVIDER ID (01) | CT |
T22100 | (02) | CT |