Individual
MICHELE ANTONUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 BOSTON POST RD STE 1, ORANGE, CT 06477-3534
(203) 996-0950
Mailing address
362 FAIRLEA RD, ORANGE, CT 06477-3411
(203) 996-0950
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
980
CT
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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