Basic Information
| Provider Information | |||||||||
| NPI: | 1295785780 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARIGNANI | ||||||||
| FirstName: | PIERLUIGI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22 WESTFIELD AVE | ||||||||
| Address2: | |||||||||
| City: | ANSONIA | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064011158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037369919 | ||||||||
| FaxNumber: | 2037352055 | ||||||||
| Practice Location | |||||||||
| Address1: | 22 WESTFIELD AVE | ||||||||
| Address2: | |||||||||
| City: | ANSONIA | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064011158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037369919 | ||||||||
| FaxNumber: | 2037352055 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 016290 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.