Antonucci, John

Antonucci, John is an individual health care provider with primary practice located at 555 Willard Ave , Newington CT 06111-2631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Antonucci, John can be contacted via phone (860) 677-6747.

Contact Information

Primary practice address
555 Willard Ave Newington CT 06111-2631
Phone: (860) 677-6747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 09502 Connecticut

Profile Details

NPI number 1508967951
LBN Legal business name Antonucci, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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