Dr. Peter Anthony Immordino, M.D.
Surgery in Farmington, CT. Individual provider (NPI-1).
NPI number1306153580
StatusActive
Last updated in NPPESSep 8, 2010
Details
- NPI
- 1306153580
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Anthony Immordino
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2010
- Last updated
- Sep 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 115497 | CT | Yes |
Practice location
263 Farmington AveFarmington, CT 06030-5386
Phone 860-679-5500
Mailing address
100 River RdEssex, CT 06426-1306
Phone 860-767-3194
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