Healthcare Provider Details

I. General information

NPI: 1629189667
Provider Name (Legal Business Name): SETH THOMAS CIOFFI PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 WILLARD AVE PHARMACY DEPARTMENT
NEWINGTON CT
06111-2631
US

IV. Provider business mailing address

11 COUNTRY SIDE DR
ROCKY HILL CT
06067-1075
US

V. Phone/Fax

Practice location:
  • Phone: 860-666-6951
  • Fax:
Mailing address:
  • Phone: 860-666-6951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number8691
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: