Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 038550 | CT |
N | 207L00000X | Anesthesiologist | 217353 | NY |
NPI | 1003890385 |
---|---|
Provider Name | Dr. Frank J. Suatoni JR. |
First Address | Branford, CT 06405-4463 |
Second Address | New Rochelle, NY 10801-5214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 05/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01155971 | (05) | NY |
B33042 | (02) | CT |