John P Iannarone, MD Valid NPI

Individual provider · Family Medicine Physician · Bridgeport, CT

NPI

1013943190

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

025630 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-23

Last updated

2014-03-14