Doctor Name: | DR. RICHARD JOHN ANNULLI |
NPI Number: | 1144590191 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 026958 |
Business Practice Address: | 1037 Valley Rd New Canaan, CT - 068402818 |
Business Phone Number: | 2039191836 |
Business Fax Number: | |
Mailing Address: | 1037 Valley Rd, NEW CANAAN |
State: | CT |
Postal Code: | 068402818 |
Phone Number: | 2039191836 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2012 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 026958 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |