Dr. Peter A Immordino, MD
Surgery in Farmington, Connecticut
1306153580- Practice location
- 263 Farmington Ave, Farmington, CT 06030-5386
- Phone
- 860-679-5500
- Fax
- —
- Last updated
- September 8, 2010
Peter Anthony Immordino is a Surgery based in Farmington, CT. Peter Anthony Immordino practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Peter Anthony Immordino is 1306153580 and holds a License No. 115497 (CT). The current practice location address for Peter Anthony Immordino is 263 Farmington Ave, Farmington, CT 06030-5386 and can be reached out via phone at 860-679-5500.
Provider Profile Details
- NPI Number
- 1306153580
- Provider Name
- Peter Anthony Immordino
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 263 Farmington Ave, Farmington, CT 06030-5386
- Phone Number
- 860-679-5500
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 8, 2010
- Last Update Date
- September 8, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 263 Farmington Ave
Farmington, CT 06030-5386 - City
- Farmington
- State
- Connecticut
- Zip
- 06030-5386
- Phone Number
- 860-679-5500
Provider Business Mailing Address Details
- Address
- 100 River RD
Essex, CT 06426-1306 - City
- Essex
- State
- CT
- Zip
- 06426-1306
- Phone Number
- 860-767-3194
License Information
- License Number
- 115497
- License State
- CT
- Taxonomy
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Farmington, CT
View all Surgery providers in Farmington →Frequently Asked Questions
What is the NPI number of Dr. Peter A Immordino, MD?
The NPI number of Dr. Peter A Immordino, MD is 1306153580. It was assigned on September 8, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Peter A Immordino, MD?
Dr. Peter A Immordino, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in CT under license number 115497.
Where does Dr. Peter A Immordino, MD practice?
The practice location is 263 Farmington Ave, Farmington, CT 06030-5386. The office can be reached at 860-679-5500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306153580 directly on the NPPES registry website.