Healthcare Provider Details

I. General information

NPI: 1790727154
Provider Name (Legal Business Name): JOSEPH A CUTERI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 07/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 MILL HILL AVE 3RD FLOOR
BRIDGEPORT CT
06610-2826
US

IV. Provider business mailing address

PO BOX 415126
BOSTON MA
02241-0001
US

V. Phone/Fax

Practice location:
  • Phone: 203-384-3394
  • Fax: 203-384-3829
Mailing address:
  • Phone: 203-384-3975
  • Fax: 203-384-3829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number028688
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: