| Donna R. Criscenzo, M.D., LLC | |
|
199 Goose Ln Guilford CT 06437-2115 | |
| (203) 458-2888 | |
| (203) 458-2889 |
| Full Name | Donna R. Criscenzo, M.D., LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 199 Goose Ln, Guilford, Connecticut |
| Authorized Official Name and Position | Donna R. Criscenzo (OWNER) |
| Authorized Official Contact | 2034582888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna R. Criscenzo, M.D., LLC 199 Goose Ln Guilford CT 06437-2115 Ph: (203) 458-2888 | Donna R. Criscenzo, M.D., LLC 199 Goose Ln Guilford CT 06437-2115 Ph: (203) 458-2888 |
| NPI Number | 1639353907 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639353907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022662 (Connecticut) | Primary |
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