Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 08215 | CT |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 035135 | CT |
NPI | 1154422947 |
---|---|
Provider Name | Dr. Salvatore J Florio |
First Address | Trumbull, CT 06611-6337 |
Second Address | Trumbull, CT 06611-6337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 30/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008215 | DENTAL LICENSE (01) | CT |
035135 | MEDICAL LICENSE (01) | CT |
G29017 | (02) | CT |