NPI 1780773630

Nanni Medical LLC

Organisation Contractor Waterbury, CT

Practice location

Address: 477 Highland Ave, Waterbury, CT 06708-3432
Phone: (203) 755-7242
Fax: (203) 755-0021

Authorised official

Name: Frederic Gerard Nanni
Title: President/Owner
Phone: (203) 910-1924

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 5118230001 (CT)

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Registry record

NPI: 1780773630
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.