Paul J Licata in New London - Pulmonary Disease
Paul J Licata - NPI 1225036981
Paul J Licata is a Pulmonary Disease in New London, Connecticut. Paul J Licata practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Paul J Licata is 1225036981. The last update date is 2007-10-18.
Paul J Licata's current location address is 492 Montauk Ave, New London, Connecticut. You can contact this provider via phone number 8604430305 and fax number 8604430823. The mailing address for Paul J Licata is 492 Montauk Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul J Licata |
|---|---|
| Address | 492 Montauk Ave, New London, Connecticut |
| Phone Number | 8604430305 |
| Fax Number | 8604430823 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1225036981 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 492 Montauk Ave |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63204615 |
| Phone Number | 8604430305 |
| Fax Number | 8604430823 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | 413 |
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Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PL52716 | RI | -- | |
| 1004134 | CT | -- | |
| 4242707 | CT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Paul J Licata by the Centers for Medicare & Medicaid Services?
The Paul J Licata has been issued the NPI (National Provider Identifier) 1225036981. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Paul J Licata is physically located?
The Paul J Licata is physically situated at the following address: 492 Montauk Ave, New London, CT, 63204615.
What is the area of specialization for Paul J Licata, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul J Licata is Pulmonary Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rp1001X.
On what date did the Paul J Licata receive its 1225036981 assignment from the Centers for Medicare & Medicaid Services?
The Paul J Licata was assigned its 1225036981 by the Centers for Medicare & Medicaid Services on 2005-07-07.
As of what date was the information regarding Paul J Licata, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul J Licata, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-18.