Provider Demographics
NPI:1447358056
Name:DENUZZIO, ALBERT J (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:J
Last Name:DENUZZIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1268 MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-3038
Mailing Address - Country:US
Mailing Address - Phone:860-666-5119
Mailing Address - Fax:860-666-9269
Practice Address - Street 1:1268 MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-3038
Practice Address - Country:US
Practice Address - Phone:860-666-5119
Practice Address - Fax:860-666-9269
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT025394207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine