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Dr. Paul J Licata, DO
Pulmonary Disease Physician in New London, Connecticut
NPI 1225036981

Paul J Licata is a Pulmonary Disease Physician based in New London, CT and is specialized in Pulmonary Disease. Paul J Licata practices in New London, CT and has the professional credentials of DO. The NPI Number for Paul J Licata is 1225036981 and holds a License No. 000413 (Connecticut).

The current practice location address for Paul J Licata is 492 Montauk Ave, New London, CT and can be reached out via phone at 860-443-0305 and via fax at 860-443-0823.

Location: 492 Montauk Ave, New London, CT, 06320-4615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225036981
Provider Name
Paul J Licata
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
492 Montauk Ave, New London, CT, 06320-4615
Phone Number
860-443-0305
Fax Number
860-443-0823
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PL52716 05 RI
001004134 05 CT
004242707 05 CT
institution
Provider Business Practice Location Address Details
Address
492 Montauk Ave
City
New London
State
Connecticut
Zip
06320-4615
Phone Number
860-443-0305
Fax Number
860-443-0823
person
Provider Business Mailing Address Details
Address
492 Montauk Ave
City
New London
State
Connecticut
Zip
06320-4615
Phone Number
860-443-0305
Fax Number
860-443-0823
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
000413 (Connecticut)
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 lungs.
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