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NPI Code Detail

MEDICARE: DR. PETER P. GIOIELLA JR. PH.D.

MEDICARE: DR. PETER P. GIOIELLA JR. PH.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
1103T00000XPsychologist836CT
2103T00000XPsychologist6496NY

General Provider Information

NPI Number : 1720201346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER P. GIOIELLA JR. PH.D.
Provider Business Mailing Address
First Line : 19 ANDERSON RD
Second Line :
City : NORWALK
State : CT
Zip : 06851-2402
Country : US
Telephone Number : 203-846-9155
Fax Number : 203-846-9155
Provider Business Practice Location Address
First Line : 94 EAST AVE
Second Line :
City : NORWALK
State : CT
Zip : 06851-5024
Country : US
Telephone Number : 203-434-2686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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