Corrao, Anthony Albert

Corrao, Anthony Albert is an sole proprietor health care provider with primary practice located at 6 Davis Rd W , Old Lyme CT 06371-1448. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Corrao, Anthony Albert can be contacted via phone (860) 434-5565.

Contact Information

Primary practice address
6 Davis Rd W Old Lyme CT 06371-1448
Fax: (860) 434-5880
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4249 Connecticut

Profile Details

NPI number 1124231279
LBN Legal business name Corrao, Anthony Albert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1124231279 NPPES
Connecticut Other 4249 STATE LICENSE

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