Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 6602 | CT |
NPI | 1093728495 |
---|---|
Provider Name | Dr. Fedele N Volpe |
First Address | Milford, CT 06460-4630 |
Second Address | Milford, CT 06460-4630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T23355 | (02) | CT |