Provider Demographics
NPI:1902210818
Name:POSSICK, VALERIA (MD)
Entity Type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:POSSICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VALERIA
Other - Middle Name:
Other - Last Name:GIANAROLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2408 WHITNEY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-3209
Mailing Address - Country:US
Mailing Address - Phone:203-483-2024
Mailing Address - Fax:203-483-2522
Practice Address - Street 1:84 N MAIN ST BLDG 2
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-3061
Practice Address - Country:US
Practice Address - Phone:203-483-2024
Practice Address - Fax:203-483-2520
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT60440207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology