Scoppetta, Daniel Joseph

Scoppetta, Daniel Joseph is an individual health care provider with primary practice located at 25 Newell Rd Suite D28, Bristol CT 06010-5100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Scoppetta, Daniel Joseph can be contacted via phone (860) 582-1220.

Contact Information

Primary practice address
25 Newell Rd Suite D28 Bristol CT 06010-5100
Phone: (860) 582-1220
Fax: (860) 582-6255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 020591 Connecticut

Profile Details

NPI number 1578587705
LBN Legal business name Scoppetta, Daniel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578587705 NPPES
Connecticut MEDICAID 001205913

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