DR. ERNEST LUKE SQUATRITO D.O. NPI 1194724054

NPI Information

NPI: 1194724054
Provider Name: DR. ERNEST LUKE SQUATRITO, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
131 NEW LONDON TPKE
SUITE 103
GLASTONBURY, CT
ZIP 06033
Phone: (860) 659-5999
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DR. Ernest Luke Squatrito, D.O. is a family medicine in Glastonbury, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Ernest Luke Squatrito, D.O. NPI is 1194724054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

131 NEW LONDON TPKE
SUITE 103
GLASTONBURY, CT
ZIP 06033-535
Phone: (860) 659-5999
Fax: (860) 659-5999

The enumeration date for this NPI number is 7/21/2005 and was last updated on 12/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		000536	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	120000101	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
2	001005364	MEDICAID	CONNECTICUT
3	H03470	MEDICARE UPIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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