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Thomas Terenzi
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NPI Number Detailed Information
Provider Information:
Name: | Thomas Terenzi |
Gender: | M |
Provider License Number If Given: | 41490 |
NPI Information:
NPI: | 1922001940 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/23/2005 |
Last Update Date: | 2/27/2009 |
Provider Business Mailing Address:
Address: | 1000 ASYLUM AVE STE 2109A Hartford, CT 06105 |
Phone Number: | 8607146581 |
Fax Number: | 8607148311 |
Provider Business Practice Location Address:
Address: | 1000 ASYLUM AVE STE 2112 Hartford, CT 06105 |
Phone Number: | 8607144749 |
Fax Number: | 8607148439 |
Provider Taxonomy:
Primary: | 207RR0500X |
Secondary (if any): | |
State: | CT |