Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 041474 | CT |
N | 207RP1001X | Pulmonary Disease | 041474 | CT |
NPI | 1053599902 |
---|---|
Provider Name | Dr. Ferdinando Urbano |
First Address | Waterbury, CT 06708 |
Second Address | Waterbury, CT 06708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2008 |
Last Update Date | 13/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001414747 | (05) | CT |