Dr. Philip R. Corvo, M.D.
Surgery, Surgical Critical Care in Waterbury, CT. Individual provider (NPI-1).
NPI number1821189267
StatusActive
Last updated in NPPESMay 11, 2022
Details
- NPI
- 1821189267
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip R. Corvo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2006
- Certification date
- May 11, 2022
- Last updated
- May 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0102X | Surgery, Surgical Critical Care | 036513 | CT | Yes |
| 174400000X | Specialist | 036513 | CT | |
| 208600000X | Surgery | 036513 | CT |
Practice location
56 Franklin StWaterbury, CT 06706-1253
Phone 203-709-6000
Mailing address
56 Franklin StWaterbury, CT 06706-1253
Phone 203-709-6000
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