Healthcare Provider Details

I. General information

NPI: 1720020597
Provider Name (Legal Business Name): PATRICIA CIOFFI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 WILLARD AVE
NEWINGTON CT
06111-2631
US

IV. Provider business mailing address

555 WILLARD AVE
NEWINGTON CT
06111-2631
US

V. Phone/Fax

Practice location:
  • Phone: 860-594-6253
  • Fax: 860-667-6875
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number037793
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: