Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 006115 | CT |
NPI | 1194786236 |
---|---|
Provider Name | Mr. Richard T Dicarlo |
First Address | Hamden, CT 06518-3209 |
Second Address | Milford, CT 06460-3551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 13/03/2019 |