Cretella, Alfred

Cretella, Alfred is an individual health care provider with primary practice located at 11 Grove St Booth House, New Milford CT 06776-3626. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Cretella, Alfred can be contacted via phone (860) 354-5544.

Contact Information

Primary practice address
11 Grove St Booth House New Milford CT 06776-3626
Phone: (860) 354-5544
Fax: (860) 350-3122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 124039 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 022754 Connecticut

Profile Details

NPI number 1881645976
LBN Legal business name Cretella, Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Sep 16th, 2011 - 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 1881645976 NPPES
Connecticut MEDICAID 001227545

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