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1710962097
PETER PORRELLO
WATERBURY, CT
NPI
1710962097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CT 038050)
Enumeration Date
2005-12-09
Last Update Date
2012-09-17
Business Address
-- PETER PORRELLO MD
64 ROBBINS ST
WATERBURY, CT 06708-2613
Phone number: 203-573-6295
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Mailing Address
-- PETER PORRELLO MD
64 ROBBINS ST
WATERBURY, CT 06708-2613
Phone number: 203-573-6295
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