Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 043142 | CT |
N | 111NI0900X | Internist | 043142 | CT |
Y | 207RI0200X | Infectious Disease | 043142 | CT |
NPI | 1033132329 |
---|---|
Provider Name | Richard Quinitiliani JR. |
First Address | Rocky Hill, CT 06067-2313 |
Second Address | Hartford, CT 06106-2528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 09/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001431428 | (05) | CT |
37186 | CONTROLLED SUBSTANCE REG. (01) | CT |
BQ4661941 | DEA # (01) | CT |
E57993 | (02) | CT |