Individual
DR. MICHAEL PAUL ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6393
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6393
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
045798
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045798
MEDICAL LICENSE
CT
Enumeration date
01/20/2006
Last updated
07/08/2010
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