Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 005283 | CT |
NPI | 1043206626 |
---|---|
Provider Name | Mrs. Nicole Christine Croce |
First Address | Stratford, CT 06614-1393 |
Second Address | Stratford, CT 06614-1393 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 19/05/2013 |