Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 12651 | CT |
NPI | 1013369487 |
---|---|
Provider Name | Dr. Nicholas Paul Saggese |
First Address | Guilford, CT 06437-2186 |
Second Address | Guilford, CT 06437-2186 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2016 |
Last Update Date | 16/08/2021 |