Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | P00105 | CT |
NPI | 1184632028 |
---|---|
Provider Name | Dr. Peter T Labarbera |
First Address | Waterbury, CT 06708 |
Second Address | Waterbury, CT 06708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 21/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
030000105CT01 | BS (01) | CT |
782531 | CONNECTICARE (01) | |
9576547004 | CIGNA (01) | |
95922 | AETNA US HEALTHCARE (01) | |
NHS346 | OXFORD HEALTH PLANS (01) | |
OV7802 | HEALTH NET (01) | |
T23496 | (02) |