NICHOLAS P MATARAZZO (Credential# 1278717) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2017. The license status is INACTIVE.
NICHOLAS P MATARAZZO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054195. The credential type is physician/surgeon. The effective date is July 1, 2016. The expiration date is June 30, 2017. The business address is 323 Riverside Ave, Westport, CT 06880-4810. The current status is inactive.
| Licensee Name | NICHOLAS P MATARAZZO |
| Credential ID | 1278717 |
| Credential Number | 1.054195 |
| Credential Type | Physician/Surgeon |
| Business Address |
323 Riverside Ave Westport CT 06880-4810 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2015-06-02 |
| Effective Date | 2016-07-01 |
| Expiration Date | 2017-06-30 |
| Refresh Date | 2017-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1080730 | CSP.0052882 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-07-19 | 2015-03-01 - 2017-02-28 | INACTIVE |
| 1293871 | CSP.0060601 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-13 | 2015-06-13 - 2017-02-28 | INACTIVE |
| Street Address | 323 RIVERSIDE AVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-4810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jennifer B Gruen | 323 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jennifer Gruen Md | 323 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| C Nicole Gorman | 323 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Robin Abramowicz | 323 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexander Hart Chingas | 355 Riverside Ave, Westport, CT 06880-4810 | Real Estate Salesperson | 2020-06-02 ~ 2021-05-31 |
| Steven Benaderet Md | 327 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susan A Lewis | 381 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2014-12-22 ~ 2017-02-28 |
| Amanda F Zygmant | 327 Riverside Ave, Westport, CT 06880-4810 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Nrt New England LLC · Coldwell Banker Realty | 355 Riverside Ave, Westport, CT 06880-4810 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Bross Chingas Bross Team Inc | 355 Riverside Ave, Westport, CT 06880-4810 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Coldwell Banker Residential Referral Network Inc · Coldwell Banker Realty Referral Network | 355 Riverside Ave, Westport, CT 06880-4810 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Jaime M Leahy | 327 Riverside Ave, Westport, CT 06880-4810 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Hannah Ahn | 329 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stanley P Freeman | 329 Riverside Ave, Westport, CT 06880-4810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06880-4810 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul S Matarazzo · Matarazzo Bldg & Rmdlng | 166 Anthony Rd, Tolland, CT 06084 | Home Improvement Contractor | 2013-12-01 ~ 2014-11-30 |
| Sebastian J Matarazzo · S J Matarazzo | 5 Pinnacle Rd, Farmington, CT 06032 | Home Improvement Contractor | 2004-06-28 ~ 2004-11-30 |
| Minbae Kim | 5 Nicholas Dr, Kinnrlon, NJ 07405 | Physician/surgeon | 2017-01-18 ~ 2018-01-31 |
| Nicholas J Exarchou Md | Po Box 940, Binghampton, NY 13902-0940 | Physician/surgeon | 2017-02-01 ~ 2018-01-31 |
| Nicholas Bastidas | 14 Murray St, New York, NY 10007 | Physician/surgeon | ~ |
| Nicholas A. Bontempo | 31 Seymour St, Hartford, CT 06106 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Nicholas G Stephani | Imaging On Call, Poughkeepsie, NY 12603 | Physician/surgeon | ~ |
| Nicholas Tzikas | 40-45 193st, Flushing, NY 11358 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Nicholas Tsamparlis | 105 Old Orchard Rd, Rye Brook, NY 10573 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Nicholas Mota | 19 Seneca Ave Apt A, Lincoln Park, NJ 07035 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on NICHOLAS P MATARAZZO.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).