Healthcare Provider Details

I. General information

NPI: 1023925682
Provider Name (Legal Business Name): RAPHAEL TORRIONI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 MILL HILL AVE
BRIDGEPORT CT
06610-2826
US

IV. Provider business mailing address

103 S RIDGELAND RD
WALLINGFORD CT
06492-2921
US

V. Phone/Fax

Practice location:
  • Phone: 203-384-3235
  • Fax:
Mailing address:
  • Phone: 203-917-1543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number17261
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: