Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES J LICATA, DO
ActiveDR. CHARLES J LICATA, DO is a Internal Medicine healthcare provider located in BRISTOL, Connecticut. NPI 1538172523 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BRISTOL, CT
Registration Details
- NPI Number
- 1538172523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (20.005995199774 yrs)
- Last Updated
- Jul 8, 2007
- License
-
000359 (CT)
Practice Information
- Address
-
625 CLARK AVEBRISTOL, CT, 060104068Browse CT providers · Browse ZIP 06010
- Phone
- 8605837700
- Fax
- 8605897656
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in BRISTOL, CT
| Name | Credential | NPI |
|---|---|---|
| RICHARD M ZWEIG | MD | 1477548451 |
| STEPHEN PETER CAMINITI | MD | 1144216045 |
| NELSON A BONDHUS | MD | 1245227586 |
| YIN FEI HUNG | MD | 1588651822 |
| KAREN S GUADAGNINI | MD | 1316934185 |
| HOWARD GARY DUBIN | MD | 1972592848 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.