Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 026811 | CT |
NPI | 1104861434 |
---|---|
Provider Name | Patrick M Alvino |
First Address | Branford, CT 06405-2918 |
Second Address | Branford, CT 06405-2918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 29/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001268110 | (05) | CT |
00461R | (02) | CT |