MATTHEW VINCENT PUCCETTI MD PHD NPI 1114554607

NPI Information

  • NPI: 1114554607
  • Provider Name: MATTHEW VINCENT PUCCETTI, MD, PHD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 800 HOWARD AVE LOWR LEVEL
    NEW HAVEN, CT
    ZIP 06519
  • Phone: (877) 925-3637

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NPI Details

Matthew Vincent Puccetti, MD, PHD is a neurology psychiatry neurology in New Haven, CT. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Matthew Vincent Puccetti, MD, PHD NPI is 1114554607. 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:

800 HOWARD AVE LOWR LEVEL
NEW HAVEN, CT
ZIP 06519-369
Phone: (877) 925-3637

The enumeration date for this NPI number is 3/24/2020 and was last updated on 3/20/2025.

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
12084N0400XPsychiatry & NeurologyNeurology1018903MASSACHUSETTSYes

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: 3/30/2025

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