Memmo, Pietro A

Memmo, Pietro A is an individual health care provider with primary practice located at 31 Seymour St Ste 100 , Hartford CT 06106-5521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Memmo, Pietro A can be contacted via phone (860) 549-3210.

Contact Information

Primary practice address
31 Seymour St Ste 100 Hartford CT 06106-5521
Fax: (860) 247-3803
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 041509 Connecticut

Profile Details

NPI number 1225035322
LBN Legal business name Memmo, Pietro A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jun 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225035322 NPPES
Connecticut MEDICAID 001415092

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