John Antonucci in Newington - Addiction Medicine
John Antonucci - NPI 1508967951
John Antonucci is a Addiction Medicine in Newington, Connecticut. John Antonucci practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for John Antonucci is 1508967951. The last update date is 2007-07-08.
John Antonucci's current location address is 555 Willard Ave, Newington, Connecticut. You can contact this provider via phone number 8606776747. The mailing address for John Antonucci is 555 Willard Ave, Newington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Antonucci |
|---|---|
| Address | 555 Willard Ave, Newington, Connecticut |
| Phone Number | 8606776747 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1508967951 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 555 Willard Ave |
|---|---|
| City | Newington |
| State | Connecticut (CT) |
| Post Code | 61112631 |
| Phone Number | 8606776747 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 9502 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Post Comment/ Review Below
What is the John Antonucci's 1508967951?
The John Antonucci's NPI (National Provider Identifier) Number is 1508967951. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John Antonucci?
The John Antonucci is physically situated at 555 Willard Ave, in the city of Newington, state of CT, with the postal code 61112631.
What is John Antonucci's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Antonucci is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 2084A0401X.
On what date was the 1508967951 assigned to John Antonucci?
The John Antonucci was issued its 1508967951 on 2006-09-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Antonucci most recently updated or revised?
The details related to John Antonucci, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.