Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 6901 | CT |
NPI | 1053456996 |
---|---|
Provider Name | Dr. Joseph Nicholas Sciarrino |
First Address | Stamford, CT 06905 |
Second Address | Stamford, CT 06905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 08/07/2007 |