Individual
DR. MICHAEL ANTHONY LOIACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06052-2016
(860) 224-5266
(703) 766-9725
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00335
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003350
—
CT
Enumeration date
06/09/2006
Last updated
12/23/2014
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