Provider Demographics
NPI:1245386374
Name:ROCCAPRIORE, DAVID MICHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:ROCCAPRIORE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:35 PLEASANT ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-5786
Mailing Address - Country:US
Mailing Address - Phone:203-634-0119
Mailing Address - Fax:203-235-5918
Practice Address - Street 1:35 PLEASANT ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-5786
Practice Address - Country:US
Practice Address - Phone:203-634-0119
Practice Address - Fax:203-235-5918
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2011-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT000491213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT480000396Medicare ID - Type Unspecified
CTT80605Medicare UPIN