Individual
MISS MARIA JOSEFINA ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
292 LONG RIDGE RD STE 104, STAMFORD, CT 06902-1627
(203) 276-8575
(203) 276-8576
Mailing address
292 LONG RIDGE RD STE 104, STAMFORD, CT 06902-1627
(203) 276-8575
(203) 276-8576
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.011436
CT
Other
Enumeration date
07/18/2023
Last updated
10/11/2023
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