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NPI Code Detail

MEDICARE: DR. ANTHONY PELUSO M.D.

MEDICARE: DR. ANTHONY PELUSO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician030140CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104818376
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY PELUSO M.D.
Provider Business Mailing Address
First Line : 7365 MAIN ST
Second Line : SUITE 310
City : STRATFORD
State : CT
Zip : 06614-1300
Country : US
Telephone Number : 860-384-3174
Fax Number :
Provider Business Practice Location Address
First Line : 267 GRANT ST
Second Line : BRIDGEPORT ANESTHESIA ASSOCIATES, PC
City : BRIDGEPORT
State : CT
Zip : 06610-2805
Country : US
Telephone Number : 203-384-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 11/13/2009

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