Provider Demographics
NPI:1356364806
Name:PRICE, JOANN ALTIERI (MD)
Entity type:Individual
Prefix:DR
First Name:JOANN
Middle Name:ALTIERI
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 ICE HOUSE RD UNIT 39
Mailing Address - Street 2:
Mailing Address - City:OAKVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06779-1570
Mailing Address - Country:US
Mailing Address - Phone:203-910-7508
Mailing Address - Fax:860-274-7245
Practice Address - Street 1:185 BIRCH ST
Practice Address - Street 2:
Practice Address - City:WILLMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-2107
Practice Address - Country:US
Practice Address - Phone:860-465-5283
Practice Address - Fax:860-465-4560
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT028161207V00000X, 207VG0400X, 208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology