Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 54286 | CT |
NPI | 1013107978 |
---|---|
Provider Name | Dr. Peter Anthony Mancini |
First Address | New Haven, CT 06510-3220 |
Second Address | New Haven, CT 06510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 07/05/2020 |