Individual
MRS. ANN LILLIAN SEMOLIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 QUARRY ST, WILLIMANTIC, CT 06226-1232
(860) 423-6733
(860) 450-1348
Mailing address
5 DUNHAM POND RD, MANSFIELD, CT 06268-2024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22269
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001222694
—
CT
Enumeration date
03/31/2006
Last updated
07/08/2007
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