MEDICARE: DR. DANIEL JOSEPH PUGLIESE ND

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	175F00000X	Naturopath	5.000768	CT

General Provider Information

NPI Number	:	1558228718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL JOSEPH PUGLIESE ND

Provider Business Mailing Address
First Line	:	12 ROOSEVELT AVE STE 15
Second Line	:
City	:	MYSTIC
State	:	CT
Zip	:	06355-2841
Country	:	US
Telephone Number	:	860-572-9566
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 ROOSEVELT AVE STE 15
Second Line	:
City	:	MYSTIC
State	:	CT
Zip	:	06355-2841
Country	:	US
Telephone Number	:	860-572-9566
Fax Number	:

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

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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