DR. JOSEPH BLAISE GUARNACCIA M.D. NPI 1235164427

NPI Information

NPI: 1235164427
Provider Name: DR. JOSEPH BLAISE GUARNACCIA, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: AFFINITY PHYSICIANS LLC.

PECOS Registration: Yes

Address:
350 SEYMOUR AVE # 1C
DERBY, CT
ZIP 06418
Phone: (203) 732-1290
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DR. Joseph Blaise Guarnaccia, M.D. is a neurology psychiatry neurology in Derby, CT with 37 years of experience. 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. DR. Joseph Blaise Guarnaccia, M.D. NPI is 1235164427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1987

The provider's business location address is:

350 SEYMOUR AVE # 1C
DERBY, CT
ZIP 06418-336
Phone: (203) 732-1290
Fax: (203) 732-1299

The NPI 1235164427 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/9/2022.

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	2084N0400X	Psychiatry & Neurology	Neurology	1045N	RHODE ISLAND	No
2	2084N0400X	Psychiatry & Neurology	Neurology	031179	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	Other Provider Identifier Issuer
1	001311795	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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