Individual provider · Type 1 NPI

Corey Pagnotta, DO

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1053933150 Active

Practice location

282 Washington St
Hartford, CT 06106-3322

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X081602 (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000X081602

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053933150

Corey Pagnotta, DO's National Provider Identifier is 1053933150, issued on May 12, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Jan 12, 2026.