Lori J. Cretella in Bridgeport - Neurology

Lori J. Cretella - NPI 1619934130

Lori J. Cretella is a Neurology in Bridgeport, Connecticut. Lori J. Cretella practices all healthcare services and medical treatments related to Neurology. The NPI Number for Lori J. Cretella is 1619934130. The last update date is 2015-12-04.

Lori J. Cretella's current location address is 226 Mill Hill Ave, Bridgeport, Connecticut. You can contact this provider via phone number 2037896047. The mailing address for Lori J. Cretella is 226 Mill Hill Ave, Bridgeport, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Lori J. Cretella
Address 226 Mill Hill Ave, Bridgeport, Connecticut
Phone Number 2037896047
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619934130
Provider Enumeration Date 2006-04-27
Last Updated Date 2015-12-04

Provider Mailing Address Detail

Address 226 Mill Hill Ave
City Bridgeport
State Connecticut (CT)
Post Code 66102826
Phone Number 2037896047
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 39546
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
010039546CT03 CT ANTHEM BLUE CROSS AND BLU
1395468 CT --

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FAQs about Lori J. Cretella

What is the Lori J. Cretella's unique identification number?

The Lori J. Cretella has been assigned the NPI (National Provider Identifier) Number 1619934130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Lori J. Cretella's facilities are situated?

The facilities of Lori J. Cretella are physically located at the following address: 226 Mill Hill Ave, Bridgeport, CT, 66102826.

What is the area of specialization for Lori J. Cretella, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lori J. Cretella is Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1619934130 to Lori J. Cretella?

The Lori J. Cretella received its 1619934130 assignment from the Centers for Medicare & Medicaid Services on 2006-04-27.

When was the information regarding Lori J. Cretella, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lori J. Cretella, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-12-04.

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