Joseph Ralph Boccuzzi, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Trumbull, CT

NPI

1700931839

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

5773 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-25

Last updated

2007-07-08