Individual
ANTHONY F LASALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 HEBRON AVE, GLASTONBURY, CT 06033-5000
(860) 659-8830
(860) 633-8529
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
021176
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001211762
—
CT
Enumeration date
10/07/2005
Last updated
06/06/2014
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