Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 53282 | CT |
NPI | 1780845768 |
---|---|
Provider Name | Jason Robert Catanzaro |
First Address | New Haven, CT 06510-3206 |
Second Address | New Haven, CT 06520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 28/06/2017 |