Individual
MR. ANTONIO PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 OLD NEW MILFORD ROAD, SUITE 3E, BROOKFIELD, CT 06804-6099
(203) 775-6205
Mailing address
60 OLD NEW MILFORD ROAD, SUITE 3E, BROOKFIELD, CT 06804-6099
(203) 775-6205
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
043835
CT
207L00000X
Anesthesiology Physician
285384
NY
207R00000X
Internal Medicine Physician
043835
CT
207R00000X
Internal Medicine Physician
285384
NY
208VP0014X
Interventional Pain Medicine Physician
043835
CT
208VP0014X
Interventional Pain Medicine Physician
285384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001438359
—
CT
01
—
010043835CT01
ANTHEM B/C
CT
01
—
043835
CONNECTICARE
CT
01
—
1121403
AETNA
CT
01
—
2606317
UHC
CT
01
—
2V7151
HEALTHNET
CT
01
—
P3654504
OXFORD
CT
Enumeration date
01/26/2006
Last updated
04/13/2023
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