Agresta, Thomas Paul
Agresta, Thomas Paul is an individual health care provider with primary practice located at 99 Woodland St , Hartford CT 06105-1207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Agresta, Thomas Paul can be contacted via phone (860) 714-4212.Contact Information
Primary practice address
99 Woodland St
Hartford CT 06105-1207
Phone: (860) 714-4212
Fax: (860) 714-8080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 032432 | Connecticut |
Profile Details
| NPI number | 1194775965 |
|---|---|
| LBN Legal business name | Agresta, Thomas Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194775965 | NPPES |
| Connecticut | MEDICAID | 001324326 |
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