Healthcare Provider Details

I. General information

NPI: 1801646443
Provider Name (Legal Business Name): FRANCESCO PELUSO MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 WHITNEY AVE STE 201
NEW HAVEN CT
06511-3762
US

IV. Provider business mailing address

291 WHITNEY AVE STE 201
NEW HAVEN CT
06511-3762
US

V. Phone/Fax

Practice location:
  • Phone: 203-200-0704
  • Fax: 203-298-1203
Mailing address:
  • Phone: 203-200-0704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCESCO PELUSO
Title or Position: SOLE MEMBER/MANAGER
Credential: MD
Phone: 203-200-0704