Dr. Charles J Licata, DO
Dr. Charles J Licata, DO is an Internal Medicine Physician in Bristol, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.
- Licensed in
- CT
- In the registry since
- 2006
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
625 Clark AveBristol, CT 06010-4068
Phone: (860) 583-7700
Fax: (860) 589-7656
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 000359 (CT) |
|---|
Record details
| NPI number | 1538172523 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | August 14, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 |
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