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1366609257

NPI Code Detail

MEDICARE: DR. DONNAMARIA ELISA CORTEZZO M.D.

MEDICARE: DR. DONNAMARIA ELISA CORTEZZO 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
1	2080H0002X	Pediatric Hospice and Palliative Medicine Physician	049550	CT
2	2080N0001X	Neonatal-Perinatal Medicine Physician	35.126222	OH
3	2080N0001X	Neonatal-Perinatal Medicine Physician	049550	CT
4	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician	35.126222	OH
5	208000000X	Pediatrics Physician	35.126222	OH
6	208000000X	Pediatrics Physician	049550	CT

General Provider Information

NPI Number	:	1366609257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNAMARIA ELISA CORTEZZO M.D.

Provider Business Mailing Address
First Line	:	282 WASHINGTON ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06106-3322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	282 WASHINGTON ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06106-3322
Country	:	US
Telephone Number	:	860-545-8950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	08/01/2024

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Directions to “ DR. DONNAMARIA ELISA CORTEZZO M.D.” Practice Location

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