Provider Demographics
NPI:1801646443
Name:FRANCESCO PELUSO MD LLC
Entity type:Organization
Organization Name:FRANCESCO PELUSO MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCESCO
Authorized Official - Middle Name:
Authorized Official - Last Name:PELUSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-200-0704
Mailing Address - Street 1:291 WHITNEY AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-3762
Mailing Address - Country:US
Mailing Address - Phone:203-200-0704
Mailing Address - Fax:
Practice Address - Street 1:291 WHITNEY AVE STE 201
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3762
Practice Address - Country:US
Practice Address - Phone:203-200-0704
Practice Address - Fax:203-298-1203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty