Individual
DR. ANTHONY ALBERT CORRAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6 DAVIS RD W, OLD LYME, CT 06371-1448
(860) 434-5565
(860) 434-5880
Mailing address
74 AYERS POINT RD, OLD SAYBROOK, CT 06475-4301
(860) 388-4383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4249
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4249
STATE LICENSE
CT
Enumeration date
05/07/2007
Last updated
07/08/2007
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