Organization
JOSEPHINE CONTRINO MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA LIS (BILLING)
(860) 721-9444
Entity
Organization
Contact information
Practice address
78 BEAVER RD, SUITE 1A, WETHERSFIELD, CT 06109-2295
(860) 721-9444
(860) 257-3056
Mailing address
78 BEAVER RD, SUITE 1A, WETHERSFIELD, CT 06109-2295
(860) 721-9444
(860) 257-3056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035532
CT
363LF0000X
Family Nurse Practitioner
6599
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004206414
—
CT
Enumeration date
01/24/2007
Last updated
10/19/2016
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