NPI 1093078503 · live from the CMS NPI Registry
Andrew Thomas Colucci, M.D.
Radiology, Diagnostic Radiology in Norwalk, CT. National Provider Identifier 1093078503, active.
NPI record
| NPI | 1093078503 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 34 Maple St, Norwalk, CT 06850 |
| Practice phone | 203-852-2000 |
| Mailing address | 330 Brookline Ave, Boston, MA 02215 |
| Enumerated | June 19, 2012 |
| Last updated | August 30, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 69427 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.