Squitieri, Rafael P

Squitieri, Rafael P is an individual health care provider with primary practice located at 2800 Main Street , Bridgeport CT 06606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Squitieri, Rafael P can be contacted via phone (203) 576-5708.

Contact Information

Primary practice address
2800 Main Street Bridgeport CT 06606
Phone: (203) 576-5708
Fax: (203) 367-8392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 039409 Connecticut
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 039409 Connecticut

Profile Details

NPI number 1720068679
LBN Legal business name Squitieri, Rafael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Nov 6th, 2014 - about 12 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 1720068679 NPPES
Connecticut MEDICAID 001394098

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