Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 031375 | CT |
NPI | 1023046349 |
---|---|
Provider Name | Frank A Luzzi |
First Address | Torrington, CT 06790-3801 |
Second Address | Torrington, CT 06790-3801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1313759 | (05) | CT |
E54693 | (02) | CT |