Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 037032 | CT |
NPI | 1043248255 |
---|---|
Provider Name | Dr. Louis C Sanfilippo |
First Address | New Haven, CT 06511-6815 |
Second Address | New Haven, CT 06511-6815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G82069 | (02) | CT |