Anna Licciardo, ND

Practice location

Address

158 Pomfret St, Putnam, CT 06260-1800

Phone

(860) 963-2250

Fax

(866) 281-7088

Mailing address

162 Broad St APT 2, Danielson, CT 06239-3000

Registered specialties

Registry record

NPI

1568947026

Entity type

Individual

Sex (as registered)

Female

NPI issued

1 Oct 2018

Record last updated

1 Oct 2018

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.